Rejuvenating earlobe esthetics with dermal fillers

Abstract

Background The external ear plays a significant aesthetic role in the appearance of the face. Chronological and extrinsic aging effects on the ear lobe get further pronounced since routine surgical aesthetic procedures for the face do not address these morphological changes. Ear adornment with jewelry and piercings further cause sagging of the ear lobe and stretch the ear piercing. Dermal fillers offer a viable option for ear lobe rejuvenation by increasing its volume and addressing the morphological changes with minimal adverse effects or downtime associated with surgery. Aims The authors aim to review the choice of dermal fillers used for ear lobule correction. The anatomy and its implications on techniques used for ear lobe rejuvenation are elaborated in this article based on the authors experience and reported literature. Methods All patients who had received ear lobe fillers were evaluated, treated and followed up. Literature review of experience of treating patients with hyaluronic acid fillers for ear lobule correction and their rejuvenation was reviewed. Results Hyaluronic acid fillers are a quick and easy method to restore the youthfulness and aesthetic ideals of the ear lobe. They address all the parameters of aging, volume deficit, reduction in the number and depth of creases and improvement in the number of wrinkles which surgical correction may not address. They can also be used for prejuvenation in younger populations expected to wear heavier ear jewelry. The results are immediate, long‐lasting and the side effects and downtime are minimal.

Ear Lobule Rejuvenation in Primary Facelift

“…The ears age exactly like other parts of the body. It is very important to keep the ears aesthetic look in synchronization with the other rejuvenated areas for fulfilling the overall aesthetic outcome [8].…”

Earlobe Rejuvenation: A Review of Current Treatment Modalities

“…For the earlobe, injectors recommend a filler with moderate elastic modiolus and high viscosity, yielding a stiffer and less deformed product, respectively. 34 Hyaluronic acid (HA) filler injected into the mid-dermal and subcutaneous planes has proven efficacious and safe for correction of earlobe ptosis1,. 34,35 When treating of Mowlavi Grade I and II ptosis in a predominantly Caucasian patient population, investigators determined that an average of 0.1-0.4 mL of HA filler per earlobe was sufficient achieve a clinical effect that persisted for 14 months.…”

“…34 Hyaluronic acid (HA) filler injected into the mid-dermal and subcutaneous planes has proven efficacious and safe for correction of earlobe ptosis1,. 34,35 When treating of Mowlavi Grade I and II ptosis in a predominantly Caucasian patient population, investigators determined that an average of 0.1-0.4 mL of HA filler per earlobe was sufficient achieve a clinical effect that persisted for 14 months. 35 A similar study assessing HA fillers in a Chinese patient population, which tends to have smaller earlobes on average, found a mean duration of effect lasting 6 to 9 months1.…”

“…For the earlobe, injectors recommend a filler with moderate elastic modiolus and high viscosity, yielding a stiffer and less deformed product, respectively. 34…”