Can My Earlobes Be Made Shorter Without Scarring?

Q:  Dr. Eppley, I have earlobes that go straight down. They don’t have the curve up, just a straight down line to the side of my face making my ears look big when they are actually very normal. Can you fix this without scarring?

A: What you have is a natural earlobe that attaches to your face without a break or upward curve. This lack of a well-defined earlobe attachment is known as a pixie earlobe. Pixie earlobes are usually thought of as an aesthetic complication of a facelift but they are also a natural earlobe shape for many people. Because of the downward and otherwise low attachment of the earlobe to the face, it does make the ear look longer. While there is  a relatively simple solution to changing how the earlobe attaches to the face, it can not be done without some scarring. The earlobe can be released and reattached higher through a procedure known as a V-Y advancement. This will move the earlobe up almost a full centimeter and give it an upward curve to its attachment. This will result in a very fine line scar in the wake of where the earlobe attachment used to be. While it is a scar, it is a very fine line. This simple earlobe reconstruction can be done in the office under local anesthesia.

Dr. Barry Eppley
Indianapolis, Indiana