ArticleAesthetic surgery journal2026
Earlobe Rotation for Prevention and Correction of Pixie Ear During Rhytidectomy in Asian Patients.
Article in Aesthetic surgery journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe most common deformity of the ear or earlobe appearing after a facelift is the pixie ear deformity.
objectivesThe purpose of this study was to devise and exercise a method to prevent ear deformity, including pixie ear, when performing a facelift and to correct it if it has already occurred.
methodsExtended deep-plane rhytidectomy was performed between January 2017 and May 2024, and 76 patients who had passed 12 months post-surgery were included in this study. Group 1 consisted of 40 patients, who underwent W-plasty of incision and a combined botulinum neurotoxin type A (BoNTA) injection around the incision site. Group 2 consisted of 36 patients, who underwent rotation of the lower earlobe after W-plasty of the incision and combined BoNTA injection around the incision site.
resultsIn a postoperative comparison between the 2 groups, Group 2 demonstrated superior outcomes over Group 1 by 8.4% on the right and 8.9% on the left, which was statistically significant (P = .007, P = .006).
conclusionsPartial rotation of the earlobe is demonstrated as a practical and effective surgical approach to prevent and correct pixie ear deformity. LEVEL OF EVIDENCE: 3 (THERAPEUTIC): For image description, please refer to the figure legend and surrounding text.
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