What should do with the deformation of earlobes after facelift?

Question

Hello, could you advice me this what to do with the deformation of earlobes after the facelift? Thanks.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  This is called pixie ear deformity which many patients seem to develop after surgery, pulling the earlobe and attaching to the face.  This is easily rectified through a minor procedure under local anaesthetic.  Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best

Alexander Zuriarrain, MD, FACS · Answer

Hello and thank you for your question. 
Deformities of the earlobe after a facelift is a common problem. It typically is a pixie ear deformity. These deformities can be corrected surgically. Your best option is to visit a fully trained plastic and reconstructive surgeon for a physical exam and determination of the best treatment approach.
All the best!  
Alex Zuriarrain, MD, Plastic Surgery

Raymond E. Lee, MD · Answer

Thanks for asking.  Most likely you are referring to pulled or pixie earlobes from the facelift incision. This happens when there is too much skin removed and the earlobes get pulled down and forward.  This can be repaired under local about 6 months after the surgery.  Talk to your surgeon or seek a second opinion.  Best of luck!

Josh Olson, MD · Answer

After a year once the skin and scar have softened a revision surgery can often improve the appearance of the earlobe if it pulled or poorly defined. Without a photos it's challenging to answer the question. Sometimes fat grafting or fillers can improve the appearance as well. Best of luckJosh Olson MD

Michael I. Echavez, MD · Answer

If the earlobe deformity that is present after a facelift is due to a bad position of the earlobe, this normally needs to be revised with surgery.  In most cases, this would be a relatively minor procedure that could possibly be done in the office.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

HII depends on the deformation.  A simple deformation of the earlobe may be repaired under local anesthesia in a certified plastic surgeon's office, however if it more extensive may require same day surgery.  Whatever your decision please be sure to consult with a certified surgeon to discuss your alternatives.Good luck.

Andrew G. Silver, MD · Answer

Hi ladylady101,
Likely you are talking about pixie ear, where the earlobe is attached and getting pulled down by the skin beneath it, but this is just an educated guess without a photo/evaluation. If this is the issue, you may have to wait until the surrounding skin is soft enough to undergo a second procedure. 
I would suggest going back to your surgeon and seeing what could be done. Getting a second opinion is usually a great idea as well. 
Hope this helps!
dr. silver

Steven Wallach, MD · Answer

Without seeing photos, I can not be sure. Common facelift issues include pixie ears and ears being pulled up on the cheek. Each may require slightly different repairs.

Sapna A. Patel, MD · Answer

Pixie ear deformity can occur when the area is closed under too much tension; I would recommend going back to the original surgeon who did the facelift. In most cases, these can be revised under local anesthesia. If the original surgeon does not feel comfortable, most facial plastic surgeons should be able to revise this.

Kyle S. Choe, MD, FACS · Answer

It depends on the deformity. Some can be surgically treated under local anesthesia, but others require a more extensive work. I would consult a local facial plastic surgeon and seek advise.

What should do with the deformation of earlobes after facelift?

Answers (11)

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