Revision facelift - will it fix pixie ear deformity? Or should I just learn to live with it? (photos)

You will definitely benefit from a revision. The scars are poorly placed and the pixie ear deformity is avoidable. The key is to place the tension of the lift on deeper layers not the skin; it doesn't matter if this is deep plane or SMAS.

Thank you for your question. Your scars and pixie ear deformity can absolutely be improved with a revision facelift (or just a scar revision if you prefer). I recommend that you consult with a board-certified facial plastic surgeon that specializes in the facelift procedure. I almost exclusively perform the extended deep plane facelift as I find this gives the most natural, long-lasting results. There are surprisingly few surgeons doing a true deep plane facelift so it is important to do your research and find someone who is an expert in the procedure. Best of luck!

Yes it appears to be pixie ear type issue but more importantly the scars are farther from the ear line (tragus). If a deep plane facelift can be done, the excess skin can be removed and scars moved back a little closer to the ear.
Regards
Dr. J

Yes, a deeper plane facelift may be the answer. We can't see the rest of your face, but if there is additional laxity, moving this area will be both attractive in appearance, and permit for improvement with the pixie ears. As a bonus, the scars should be able to move backwards.