Are these pixie ears? (photos)

Your photos show some descent and elongation of the earlobes in the post operative views. This can be caused by downward tension on the earlobes, possibly from excessive tension on the skin closure or from anchoring the mobilized SMAS to mobile rather than fixed tissue. When extreme this is often referred to as a pixie ear.

Hi there. I believe the third set of your photos are your postoperative photos? If so, it does seem to be a very mild pixie ear deformity. I wouldn’t call it a classic case of pixie ear deformity. These can be corrected with a minor procedure performed under local anesthesia, removing a wedge of tissue and bringing the earlobe up. The treatment is very effective when done correctly. Hope this helps? Good luck!

Hello, and thank you for providing photos along with your question. Based on these images, you do appear to have pixie ears, specifically the tethered earlobe that seems attached to the side of the cheeks (although a face-to-face evaluation is best to confirm this). Fortunately, surgery can correct pixie ears. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can evaluate your ears, recommend the best course of action, and ensure the best possible results.