Pixie ear deformity is an unsightly though thankfully uncommon complication following rhytidectomy procedures. This deformity is characterised by migration of the earlobe inferiorly and anteriorly and the appearance of being ‘stuck on’ or ‘tethered’ as wound healing progresses. It is thought to result from lobule inset under tension, usually related to excessive resection of the rhytidectomy skin flap. A number of corrective procedures have been described including the excision of a medially based triangular excision pattern
1as well as excision of tethered skin and healing by secondary intention.
- Mowlavi A.
- Meldrum D.G.
- Wilhelmi B.J.
- et al.
The “pixie” ear deformity following face lift surgery revisited.
Plast Reconstr Surg. 2005; 115: 1165-1171
2McKinney et al.
- Zide B.
Correction of the pixie ear deformity.
The Waldorf Astoria Hotel, New York2011
3advocated placement of the lobule more cephalad and dorsal in order to prevent this deformity postoperatively.
- McKinney P.
- Giese S.
- Placik O.
Management of the ear in rhytidectomy.
Plast Reconstr Surg. 1993; 92: 858-866
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- The “pixie” ear deformity following face lift surgery revisited.Plast Reconstr Surg. 2005; 115: 1165-1171
- Correction of the pixie ear deformity.(The Cutting Edge Aesthetic Surgery Symposium) The Waldorf Astoria Hotel, New York2011
- Management of the ear in rhytidectomy.Plast Reconstr Surg. 1993; 92: 858-866
Published online: June 18, 2012
© 2012 Published by Elsevier Inc. All rights reserved.