Facelift: Q&A

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Pixie Ear Revision? (photo)

I had a facelift and am left with pixie ears that need a slight revision. What should I expect in terms of scars, stitches, time off work, etc."

28 Doctor Answers | Asked by Canadian Alien
+3

Pixie Ear Revision

In the simplest version of the correction the remnant lobe is advanced upward and the scar area is closed behind that. This would not require time off from work and could be performed under local.
+1

Pixie ears after facelift

This can be repaired in the office or operating room depending on what your goals are and what kind of scars you are willing to accept. Some times a simple office procedure as explained by Dr. Hughes is the way to go first. If you are not happy with this result you can always do a more invasive procedure. Good Luck!
+1

A couple of general options to correct your pixie ear, but it's a very customized procedure

Pixie ear deformities happen because the skin has a tendency to regress a little bit with any tightening procedure. Fortunately in my practice in face lifting, I rarely have this problem these days, but it’s not like it can’t happen. The issue is really about the amount of skin as well as what shape your earlobe was prior to surgery. If your earlobe was an attached earlobe and the skin pulled down, leading the scar to be widened , then the simplest procedure is to have the earlobe... more

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+1

Pixie Ear Revision

It looks as if there's a lot of tension on your scars and correction may require SMAS support rather than just undermining skin to reduce tension. So the more involved the procedure the more downtime.
+1

Pixie ear after facelift

This can be corrected under local anesthesia. If done on a friday, you can return to work on monday and most people would not notice anything.
+1

Correction of Pixie Ear Deformity after Facelift

As others have stated, the pixie ear or satyr ear deformity after facelift results from too much tension on the ear lobe (lobule) during closure. This can be avoided by not trimming the skin excessively and by relieving the tension on the closure with a deeper lift. That said, if this does occur during healing, the best way to correct it (in my practice) is to repeat the incisions around the ear and undermine widely. The lobule is then resuspended at a higher point to the deep connective... more
+1

Pixie ear after facelift

A pixie ear typically occurs when too much tension is placed on the earlobe during closure of the skin. This type of deformity is relatively straight forward to correct and can reasonably be done under local anesthetic in an office setting. The ear lobe is released and the lobe is repositioned in a superior direction. From the picture that you provided it looks like the scar may still be relatively fresh. You also look like you may have some hypertrophy (thick scar) behind the ear. This can... more
+1

Pixie ear correction

This should be a fairly simple procedure (provided that your surgeon is experienced) with little/no down-time.
+1

Pixy ear revision

Hello. This facelift complication is a result of downward skin tension on the earlobe following facelift surgery. The problem can be corrected with repositioning of the earlobe upward with possible re-suspension of the skin flap or a smaller procedure that leaves a small scar. Good luck.
+1

"Pixie" earlobe deformity after facelift is easily correctable but also easily avoidable.

Closure of the skin after facelift under tension will distort anatomic features that are not rigid. The earlobe is one such structure that will be pulled down in bland into the cheek destroying the lobe. The tension free closure will avoid this. When it occurs is easily fixed with a small procedure under local anesthesia.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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