Aesthetic Plastic Surgery

, Volume 39, Issue 4, pp 483–490 | Cite as

How to Avoid Earlobe Deformation in Face Lift

  • Sulamanidze MarlenEmail author
  • Sulamanidze Constantin
  • Sulamanidze Georgii
Multimedia Manuscript Aesthetic



During the postoperative period following a facelift, caudal extension of the earlobe secondary to pulling of the submandibular tissues can occur. This earlobe shape, often termed “pixie ear”, is unnatural, and patients often request its repair. The objective of this study was to design a modified facelift technique that provides natural, aesthetically acceptable, and long-lasting results.


In patients with pixie ear secondary to classical rhytidectomy, we omitted the incision around the earlobe; instead, we interrupted it in front of the earlobe and finished it behind the earlobe, without fully dissecting the earlobe from its base. We then performed all required stages of the facelift: detachment of the cellulocutaneous flap, manipulation of the superficial musculoaponeurotic system, establishment of homeostasis, lifting of the cutaneous flap, and finally suturing of the retained edges of the skin onto the cartilage matrix of the pinna.


The above-described operative technique was used in 24 patients from October 2008 to January 2014. Long-lasting projected results were achieved in each case.


The modified facelift technique described herein can be used to perform facelifts with a pre-existing pixie ear, as well as to prevent the development of pixie ear.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Face lift Rhytidectomy Superficial musculoaponeurotic system Earlobe Pixie ear 


Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 120014 kb)


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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2015

Authors and Affiliations

  • Sulamanidze Marlen
    • 1
    Email author
  • Sulamanidze Constantin
    • 1
  • Sulamanidze Georgii
    • 1
  1. 1.Total Charm ClinicTbilisiGeorgia

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