Pixie Ear Revision? (photo)

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.

The 'pixie' ear deformity, often characterized by an unnatural appearance of the earlobe due to tension from facelift procedures, is a concern we frequently address. Your description matches the common features of this issue.

For milder cases, we can often make improvements in our office using local anesthesia. In more pronounced instances, a revision facelift might be recommended. It's important to note that if the concern is isolated to one ear, we can focus solely on that side to achieve symmetry without affecting the unaffected ear.

The in-office procedure involves carefully placed incisions and sutures near the lower part of the earlobe, which can usually be concealed by your hairstyle. I'm pleased to inform you that scarring is typically minimal, and downtime is minimal as well, with many individuals returning to their routine the following day.

To gain a comprehensive understanding of the options tailored to your specific case, I recommend consulting with an experienced facial plastic surgeon. During our consultation, we can discuss your unique situation, and I'll provide you with the guidance you need to make informed decisions.


If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com.

Thank you for the question.  To do it right a substantial portion of the facelift needs to be done.  The earlobe needs to be detached from your face and rounded out,  then made into a small detached earlobe.  Definitely doable but unfortunately it requires a good part of your facelift to be reworked to get it right.  I have seen and dealt with this more times than I can count.