Pixie Ear Correction? (Photo)

Question

I had a facelift. The results were less than desirable. I wanted to know if there is a way to fix my ear lobe without having another facelift. I had necrosis on the opposite side and was told that I could likely have necrosis again. Therefore, a revision facelift would probably be impossible. Thank you

Jacob Tower, MD · Answer

Hello, hope you are well. Yes, this is a relatively straightforward correction in your case. The earlobe would be adjusted to a natural position under local anesthesia. You do not need a revision facelift to accomplish the desired result.
Best,Dr. Tower

Ryan Rebowe, MD · Answer

There are local flaps that can be used to make a severe pixie ear less noticeable. However, I think overall your pixie ear is not severe, so any corrective procedure is likely to yield minimal results. Furthermore, with your history of skin necrosis, even a minor procedure could lead to further complications.

Raffy Karamanoukian, MD, FACS · Answer

Earlobe repair is a common procedure in our plastic surgery office. I employ a technique that involves removing the excess scar tissue and reapproximating the tissue planes in multiple layers to recontour the earlobe after gauges, torn earlobes, or stretched out earlobes. Sometimes, the same procedure is used to restore contour to a pixie ear after facelift surgery or facial surgery. Gauge correction is a popular treatment. Insurance typically does not cover the procedure in California, but it all depends on your insurance policy. Costs are typically between six hundred dollars and one thousand dollars depending on the complexity of the repair. Pixie ear repair involves correction of the facelift flap and is a more complex procedure that requires anesthesia. Aftercare for earlobe repair involves proper wound care, Plato’s Scar Serum at least twice daily, with repiercing of the earlobe if requested, in 6 weeks. It is best to have a plastic surgeon perform the procedure and help with scars in the post-procedure period. Plato’s Scar Serum, wound care, and Neosporin are used.

Best,
Dr. Karamanoukian
Realself100 surgeon

Best, 
Dr. Karamanoukian
Realself100 surgeon

Ronald J. Edelson, MD · Answer

Although pixie ears are common they are actually pretty simple to correct and avoid. Yours are actually not that bad but if you want your earlobes a bit more separated from your cheek it’s simple to do. I have several examples on my IG

Whitney Pafford, MD · Answer

As long as the skin under your ear isn't too tight, a V to Y advancement procedure can be used to fix your pixie ear deformity. This is a minor procedure and can be done in the office. I'd discuss this further with your surgeon or make an appointment with a local Facial Plastic Surgeon in your area.

William Portuese, MD · Answer

To correct a pixie earlobe requires a minor little procedure at the ear lobe itself performed under local anesthesia. No worries about skin necrosis because the undermining is so minimal.

Kenneth R. Francis, MD, FACS · Answer

Dear Spunky,
Your pixie earlobe deformity is very mild.  It can be revised with a relatively minor procedure under local anesthesia.  Good luck!

Pixie Ear Correction? (Photo)

Answers (7)

More Earlobe Repair Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Earlobe Repair Questions

Ear piercing after earlobe repair. Is it safe to pierce?

Am I a candidate for earlobe repair/repiercing? (Photo)

Post revision rhino with ear cartilage, why has my ear fallen down & how can I fix it?

Am I a candidate for earlobe repair? (Photo)

Earlobe repair for 10 year old. Should I take her to a pediatric doctor or a regular cosmetic surgeon? (Photo)

Unattached earlobes post facelift - can they be reattached?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS