On occasion, a patient will come into my Champaign-Urbana Cosmetic Plastic Surgery Center searching for advice or a second opinion on how to fix their “elf ears” after having a facelift in another facility.
The normal expectation after a facelift is to obtain a more youthful appearance by improving of issues like jowls, neck folds, sagging skin etc but what about surprises like distorted ear lobes often called “elf” ears, “pixie” ears or “witches”ears? This can occur during a facelift procedure when the ear lobe is pulled down and lacks the right angle between the lower portion of the lobe and the facial / neck area below it.
While some surgeons can produce this type of unfortunate result / complication which is a tell tail sign that you just had a facelift with an undesirable outcome, I find it easy to correct with a natural looking end result.
The reason “elf ears” can occur after a facelift is because there is too much tension at the junction between the lowest part of the ear and the face – something that an experienced facial plastic surgeon would NOT do. To correct this issue, I generally remake the lower incision without removing any skin and elevate the lower facial skin to a fixed point in the firm deep tissue (Parotid Facia). This elevates the earlobe and returns the natural, round shape to the previously stretched earlobe releasing the downward pull of the earlobe.
This simple correction can be performed under local anesthesia and the patient is quickly back to normal daily activity.

Dr. G. D. Castillo
G. D. Castillo, M.D., FACS
COSMETIC PLASTIC SURGERY
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Tags: Cosmetic Plastic Surgery, cosmetic surgery danville, elf ears, facelift, gd castillo md, jowls, pixie ears, plastic surgeon champaign il, plastic surgery champaign, post facelift ear deformity, wrinkles