Esthetic and reconstructive options for earlobe deformities

The earlobe plays a significant role in framing the face and complementing the appearance of earrings, hairstyles, and other facial features. In addition to the growth of the earlobes with the aging process, other changes can compromise the shape, size, and overall youthful appearance of this region. The main changes are evidenced by the elongation and ptosis of the earlobes, loss, atrophy of soft tissues, and formation of wrinkles in addition to deformities produced by surgical procedures, placement of earrings, and piercings or earlobe gauging.

The authors describe the main changes in the earlobes and review the current treatment modality for earlobe rejuvenation and reconstruction, addressing the anatomy, common esthetic concerns, and various therapeutic approaches.

A narrative review of treatment options was performed. We searched PubMed databases. Based on the diagnosis of changes, less invasive surgical procedures, use of laser, and fillers with fat or hyaluronic acid represent therapeutic options.

Significant improvement of the senile earlobe and correction of anatomical and esthetic deformities can be attenuated or corrected through different approaches. Proper diagnosis of the changes will determine the best treatment or even the combination of procedures.

Surgical procedures, laser rejuvenation, fat injection, and fillers represent simple and effective options for treating esthetic problems and acquired deformities of the earlobes.