Pixie ear deformity after facelift - Options? (photo)

At 23, no facelift should have been done on someone with such tight skin. However, the pixie ear can be released and reset and this can be done under local. If it has been tried 4 times, you now have a lot of scar tissue in that area. although you do not want to hear this, it would be best to do nothing for now and consider a revision when you have aged more and have lose skin.

Based on your photos, you would need a full deep plane facelift to be done to get enough normal skin to come up and release the tension on the earlobes and remove the scar. If it's done correctly, you should have a nice result. Be sure to see a facial specialist for consultation.

Assuming it's your pics in the last two pictures, the scarring and pixie ear are from too much skin removal resulting in significant tension on your incision. The only ways to get this fixed would be to somehow recruit more skin... and given that you've had attempts of fixing it 4 times, I doubt that that is available right onw. Esp if you feel you are struggling financially, I would leave this alone for now, work on getting your life together, and come back for this in the future. This is not worth changing your life over, and honestly there won't be much you can do until you build up more laxity anyway.