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.