A woman of color in her mid 20’s who has a partial tear of her left earlobe. By discussion, she did sleep with her earrings in place. She is shown before and again, 3 months
after repair under local anesthesia in the office.
A woman in her mid 20’s who is bothered by a dorsal hump and by fullness of the tip. She is shown before and again, 6 weeks after an open rhinoplasty. The tip will continue to improve in refinement over the next 3 years as the swelling slowly decreases and unveils the structure that we have created at her tip. She is already thrilled with her early result. She has a “weak chin” with her chin point being behind “reidel’s line”, a line drawn connecting the lips. But she has some facial asymmetry and was concerned that a chin implant might draw more attention to this.
A challenging case of a woman in her early 30’s who has an unusual deformity of her ears following gauges and multiple earlobe splits. She sheepishly mentioned that she had allowed a non-medical friend to “trim her ears with a 15 blade”. This unfortunately removed much of the tissue that would have been helpful to reconstruct her ears as seen in other gauges repairs on my website. I was able to design and perform a 2 stage repair of her right earlobe 6 weeks apart, and a one stage repair of her left earlobe.
I was then able to see her back to re-pierce her ears.
An Indian woman in her mid-40’s who is bothered by splitting which makes it difficult to wear her earrings. She does sleep with her earrings in. On examination she also has drooping of the earlobes. She is shown before and again, 3 months after a bilateral earlobe lift. Scars typically get thicker for 6 weeks and then fade and improve over the next year or longer. She is thrilled with the correction of the slits but also with the more youthful appearance of her ears.
A man in his mid 30’s who is bothered by bilateral prominence of his ears. He has been bothred since he was younger and has been teased on occasion, especially when his hair is shorter
On examination his right ear protrudes 2.8 cm at the midportion ( normal is 1.6-1.8 cm) and his left ear protrudes 2.6 cm. He has prominence of the conchal bowl and a diminished antehelical fold. He is shown just 6 weeks after bilateral otoplasty. Although the incisions are behind the ear, the cartilage is rasped under the skin to reshape it along the new fold and He has some mild discoloration of the skin on each ear which should continue to improve over the next few months as the healing progresses. He is already thrilled to have a normal appearance to his ears.
A man in his late 20’s who is bothered by a congenital deformity of his right ear. This does not fit completely into the category of Stahl’s ear because he does not have a third crus but has a similar overall outline and is most likely also a developmental deformity of hillock 4. He is shown before and again, 7 weeks after surgical correction in the office under local anesthesia. He is thrilled with the normal contour of his ear after surgery. The scar is placed just inside the helical rim and should continue to fade and improve over the next year or longer.
A woman in her late 50’s with a complete cleft of the left earlobe. She is shown before and again, 5 years after repair. The ear had been re-pierced 3 months after her surgery, but she does not have her earrings in today. A normal shape has been restored to the earlobe.
A professional in his mid 30’s who has had gauges for many years. He had overly stretched the earlobes and had necrosis of the portion of the earlobe near his cheek. He had cut his earlobes to detach them further from the cheek attachment and them had them sutured with a simple suture and re-gauged. He is now concerned that the appearance of his earlobes might impede his progress as he moves higher into management and would like to have them corrected.
He is shown before and again, 3 months after correction in the office. I was able to use what he had left to reconstruct a normal, aesthetic earlobe.
A Hispanic woman in her early 30’s who is bothered by elongated piercings on both ears. She has three piercings but the ones bothering her are the ones closest to her cheek. She does sleep with her earrings in place. She is shown before and again, 8 months after bilateral correction of the partial clefts. An excellent contour was obtained. Scars typically get redder and thicker for 6 weeks and then begin to soften and fade for the next 2 years. Some patients are prone to developing hypertrophic or thicker than normal scars because of their skin type and genetics, and can take longer to fade and soften, and sometimes require a steroid injection to help soften and flatten the scar after repair. Her scars have an excellent contour but are thicker to palpation and itching a little and benefited from a Kenalog ( a type of injectable steroid) injection.