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The Three-Triangle Rotation Flap Technique for Aesthetic Ear Lobule Reduction
Vasileios Vasilakis1, Feras Yamin2, Matthew H Isakson3
1Hunstad Kortesis Bharti Plastic Surgery Center, 11208 Statesville Road, Unit 300, Huntersville, Charlotte, NC, 28078, USA. v.vasilakis6@gmail.com.
Aesthetic Plastic Surgery
|August 5, 2020
Summary
The three-triangle rotation flap technique effectively reduces aging earlobes, offering aesthetic enhancement. This method is safe and adaptable for various ear lobule ptosis degrees, with no reported complications.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Rejuvenation
Background:
- Aging significantly affects ear lobule appearance, a commonly overlooked aspect of facial rejuvenation.
- Rhytidectomy (facelift surgery) presents an opportunity to surgically improve the aging earlobe.
Purpose of the Study:
- To provide a detailed, step-by-step description of the three-triangle rotation flap technique for aesthetic ear lobule reduction.
- To illustrate the surgical technique with visual aids.
Main Methods:
- The three-triangle rotation flap technique was described and illustrated with photographs and videos.
- A retrospective review of ear lobule reduction procedures performed between December 2016 and February 2020 was conducted.
Main Results:
- Twenty-three patients underwent bilateral ear lobule reduction, either in conjunction with rhytidectomy or as a standalone procedure.
- No complications were reported, and no revisions were necessary.
Conclusions:
- The three-triangle rotation flap technique is versatile, adjustable for all degrees of ear lobule ptosis and patient preferences.
- The technique can be performed independently or combined with rhytidectomy, enhancing lobule stability and fixation.

