Q. I recently had a facelift and am extremely happy. But now my ears look older than the rest of my face. Is there anything I can do to improve the situation?
This is a great question because it points out something that patients sometimes forget — that is, everything has to mesh.
Now that you had your face and probably your neck done, the part that doesn’t fit on your face are those older- looking ears. While this is not the case with everyone, your ears may be more noticeable because they are flabby, wrinkly, too big or your earring hole is too long.
These problems can sometimes be corrected at the time of surgery, or in some cases, your surgeon may choose to fix them on a separate occasion.
If your earring hole is too long, and the hole cannot be used for earrings, then you may want to correct it with a simple surgery. The elongated hole is cut out; the remaining hole is sutured together. Six weeks later you can have your earlobe pierced.
If your earlobes are wrinkly and flabby, you may want to turn to fillers such as Perlane, Juvederm, Restylane and Sculptra. These are temporary; you would need to be reinjected periodically.
If you want a more permanent solution, you can have your own fat grafted into your ear lobe to improve its appearance. The fat contains embryonic stem cells, which may also improve the appearance of your skin.
If you have fine wrinkles, a minor laser treatment may help make your ears appear more youthful.
If your earlobes are just too long, there are various surgical techniques to reduce them. These techniques vary with each surgeon, but the end point is a smaller, perkier earlobe.
Dr. Wolf is a partner in Miami Plastic Surgery Center. Email your questions to him at