Facelift and Why Your Ear Will Matter

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We all know that facelift improves visible signs of facial aging, particularly the sagging appearance of the mid face, the laugh lines, and the jowling. And when combined with other rejuvenation procedures such as forehead lift, eyelid lift, etc., the surgery can further provide impressive results.

But aside from a more rejuvenated appearance, it remains crucial to avoid stigmata of the surgery such as pixie ear deformity or pulled down ear.

Pixie ear deformities occur due to several things, although it all boils down to excessive tension on the skin. But sometimes, the problem also happens because of the dichotomy between the more youthful facial soft tissue and the drooping, aging ears.

While several techniques are used to avoid pixie ear deformity, they all share the same goal: close the wound in a way that there is no or very little tension on the earlobes and facial skin. Oftentimes, this is accomplished by placing deep internal sutures to hold the muscle or “main structures” in place.

And by going deeper—instead of lifting the skin alone—we are also able to provide results that can last for many years because the supportive framework has been strengthened as well.

A skin-only lift, meanwhile, not only increases the risk of pixie ear deformity; scar migration, overly tight appearance, and other stigmata could also occur in this technique.

Should pulled down ears occur after facelift, it might be ideal for some patients to wait until the cheek skin relaxes to a certain degree, which could take a few years, before any revision is attempted.

Another possible technique is to release the earlobe from its unnatural attachment and then reattach it in a higher position.

Aside from the natural appearance of ears, take note that skilled facelift surgeons will also prioritize creating even hairline, plump or youthful cheek area (instead of appearing flat due to excessive pull), and overall natural look.
Article by
Beverly Hills Plastic Surgeon