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A woman had a facelift 10 years ago which resulted in a pixie ear deformity. She wants to know if this can be corrected. Pixie ears do happen in face lifting surgery. When Dr. Amiya Prasad evaluates a patient with pixie ear deformity, he basically looks at a couple different factors. Pixie ear deformity after a facelift is because of a very aggressive skin removal at the lower part of the facelift flap. This results in the pulling of the skin and eventually pulls the ear. Unfortunately, there's also skin shortage that goes with that so there's a compromise to make that look better, but that is usually a different procedure. In a scenario where someone is 10 years after a facelift, there are basic two options: one is involves another facelift procedure and the other doesn't. However, it's not the same procedure that the patient had 10 years ago but a limited procedure. The skin is lifted up and the pixie area can be rotated inward and sutured in a way so it can be rounded back to normal. The face can be placed in a proper position thereby eliminating that downward pull. If the patient is not ready for another facelift procedure, the pixie ear deformity can still be treated. What is essentially done is that the earlobe is detached from the skin and then through a straightforward suturing technique, the ear lobe is rounded and reattached. This leaves a little bit of skin defect which is closed with a couple of stitches. Fortunately, this is pretty easy to hide. That second procedure is the minimal repair and is done under local anesthesia. If the patient wanted to do a more extensive procedure like another facelift, then it can certainly be corrected at that time. However, a proper physical examination will help determine what direction the patient will be heading. More about facelift here: http://prasadcosmeticsurgery.com/pras...