Cam My Pixie Ears Be Fixed After A Deep Plane Facelift?

Q: Dr. Eppley, I need your help.  I got a facelift (deep plane) in another country. I like the lifting so far, but I ended up with pixie ear deformation. Could you fix my problem? If yes how it is possible? Usually I don’t want to lift again.

A: Pixie ears are a reflection of over tissue resection and/or poor suspension of the lifted tissues. There are only two methods to correct the pixie ear deformity. The simple method is a direct release of the earlobe and repositioning it higher by a V-Y advancement technique. While effective the tradeoff for this simple method is a visible vertical scar line down from the new position of the earlobe down to where it was originally. It may be simple but most patients usually do not want a visible scar. The scarless but more involved method is that part of the facelift needs to be lifted so the skin tucks under the released shortened earlobe position.

Dr. Barry Eppley

World Renowned Plastic Surgeon