A pixie ear deformity usually appears when too much skin is removed below the ear after a facelift. Some facial surgeon's have this problem with virtually every patient on whom they do facelifts. Look for this carefully in their before-and-after gallery. First, bring up the problem with your surgeon. He should fix this in the office for nothing. If you have already lost trust, simple repairs should not cost much, less than $500.
Web reference: http://www.drjohnbitner.com