What are the best options for correcting pixie ears?

I had a facelift last year and I wasn’t particularly happy with the results. I was hoping for something more natural looking, but it’s obvious I had work done. One of the other things that I’m disappointed with are the pixie ears that I’m left with. If I want to fix them will I need another procedure?

Tags:1 year post-op natural

I’m sorry to hear that you’re unhappy with the results of your facelift surgery. This is a tricky question to answer without seeing a photo, but it does sound as though you would probably need another procedure to correct your pixie ears. The good news is that pixie ear correction is a straightforward procedure that provides long-term results and involves very little downtime.

A pixie ear deformity is usually caused by excessive tension being placed on the earlobe as a result of facelift surgery. This tension causes the earlobe to stretch downward, resulting in the earlobe attaching directly to the skin on your cheek. A pixie ear may also be the result of natural complications during the healing process, though this is relatively rare.

As I mentioned above, correcting a pixie ear via revision surgery is fairly simple and can be done in-office under local anesthesia. Be sure to communicate clearly with your plastic surgeon to ensure that you are both on the same page regarding your aesthetic goals.

During the procedure, your plastic surgeon will release the attached earlobe from the cheek and shape it to give it a more natural cupped appearance. The cheek skin is then attached to the connective tissue behind the ear to keep the cheek in position without applying excessive tension to the earlobe. The resulting scar from this type of ear surgery is usually tiny. Downtime is minimal — I find that most patients are able to return to work the day after the procedure, though I do recommend avoiding strenuous activities for a couple of weeks to let the body heal.

If you had your facelift recently, you may need to wait some time before considering revision surgery. Most board-certified cosmetic surgeons recommend waiting at least six months to a year after a facelift to give it time to heal properly before undergoing additional cosmetic surgery to correct a pixie ear deformity.

Hi Eloise,

To fix pixie ears by themselves you can usually have that done with a minor revision of the facelift. However, if you are generally unhappy with your result, you may wish to consider a total revision. The good news is that pixie ears can often be dramatically improved and secondary facelifts are sometimes easier to do than the primary because the issues are often more focused and the planes of dissection have already been created.

Here's some general info about facelifts:


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