Ear Lobule Rejuvenation in Primary Facelift

Abstract

Background: With the aging process, changes in the facial proportions occurs. The auricular lobule has a significant role in the ear and facial aesthetics. With aging, the ear lobule gets distorted in shape. Objective:The aim of this study is to address the ear lobule ptosis with primary facelift procedure.Patients and Methods: Fifteen patients with facial skin redundancy and true ear lobule ptosis having primary facelift, were operated in Ain Shams University Hospital and Private Hospital from September 2020 to May 2022. An informed consent was obtained from all patients. Preoperative evaluation was done for the face and ptotic ear lobule was examined for its deflation, width and length measurements. Pre operative and post operative photography were taken. Primary facelift was done and ear lobule management according to degree of ptosis.Results: Fifteen patients underwent primary facelift procedure, age was ranging from 48-60 years (average 53), with ear lobule management (nine cases had fat injection for correction of loss of volume and six cases had surgical reduction for ptosis correction) with high satisfaction scores (13/15) with no lobuloplasty complications. Conclusion:Aesthetic consideration of ear lobule rejuvenation in primary facelift procedure augments the final aesthetic outcome of the procedure and patients' satisfaction.

Comparative Study between Ear Lobe Push Down Versus Ear Lobe Transposition in Microtia Reconstruction

“…According to Firmin, certain goals must be achieved to grant the patients an aesthetically appealing consistent ear; there must be a balanced 3-dimensional structural support, and there must be an adjustment of the skin to the framework (8) . The auricular lobe has a significant role in the ear and facial aesthetics, although interventions appear to be simple, yet its impact on the individual is very high 9 .…”