title: Surgical correction of pixie-ear defect without an exposed incision on the lobe.
abstract: Pixie ear is a condition in which the posterior edge of the helix extends straight down to the cheek-jaw intersection, without sweeping back up anteriorly to form a lobe. It occurs congenitally, but more commonly is a postoperative condition, following facelift surgery. Over the years, a handful of methods have been proposed to restore a normal earlobe contour in patients with pixie-ear defects, regardless of etiology. However, virtually all either result in an exposed scar or have limited or undocumented follow-up. The technique described here, resulting in a hidden scar on the mastoid-facing portion of the newly formed lobe and at the mastoid, behind the lobe, has been performed 26 times, with follow-up as long as 20 years.
authors.affiliation: Aesthetic & Plastic Surgery Institute, Orange, CA 92868–3298, USA. vincent.g.laurence@gmail.com
authors.forename: Vincent G
authors.initials: VG
authors.lastname: Laurence
authors.forename: Garrett A
authors.initials: GA
authors.lastname: Wirth
authors.forename: John Paul
authors.initials: JP
authors.lastname: Michaud
authors.forename: David L
authors.initials: DL
authors.lastname: Wood
mesh_terms: D002921:Cicatrix / Q000517:prevention & control; D015331:Cohort Studies; D054644:Ear Auricle / Q000002:abnormalities* / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome