A woman in her 50’s who is bothered by drooping of the earlobes. She partially tore her right earlobe when she was younger when a large hoop earring caught on her sweater. Because the earlobe is drooping and the slit is longer, her earrings sit funny. She is shown before and again, 6 months after repair. She had her ears re-pierced elsewhere after her repair.
A woman in her early 80’s with a defect of her nose after Mohs excision. She is shown just after Mohs surgery but before reconstruction with a Rieger type flap. She is shown again, 4 months after repair. Scar has faded nicely and the skin matches in color and texture.
A woman in her late 30’s who is bothered by a weak chin as well as submental fullness. She is shown 7 ½ months after a chin implant and 3 months after the placement of 4 vials of Kybella to the submental area. She has had an additional 4 vials of Kybella 5 months before. She has gained 4 lbs since the Kybella treatment but the submental area is more refined and gives her the appearance of having lost weight. The Kybella treatment has been tailored in her case to include the jowls. A beautiful jawline is seen after her treatments.
A woman in her mid to later 40’s who has a complete traumatic cleft of her right ear and a partial traumatic cleft of her left ear. Her earlobes are also droopy in appearance. She is shown before and again, 5 months after a bilateral earlobe lift/cleft repair.
With a lift, the earlobe is swung back and forth across an imaginary central point to precisely mark a wedge. This wedge is excised at the time of the repair, removing the extra tissue and giving the earlobe a more youthful appearance. Scars typically become redder and thicker for the first 6 weeks after repair and then soften and fade over the next 2 years. By 5 months her scars have started to fade. She has a second piercing on her left earlobe and this was marked with a marking pen at the time of re-piercing her new hole.
A woman in her mid to later 40’s who is bothered by a left cleft earlobe. Her earrings fall through the earlobe. She has drooping of both earlobes. When both earlobes droop, patients are typically the happiest when they correct both sides, which she elected to do. With an earlobe lift, the earlobe is swung back and forth past an imaginary point to precisely mark a wedge of the excess earlobe. She is shown before and again, 6 months after surgery when she returned to have her ears repierced.
A woman in her early 60’s who is bothered by an old tear of her left earlobe as well as drooping of both earlobes. She is shown before and again, 3 months after a bilateral earlobe lift/ cleft earlobe repair. In an earlobe lift the earlobe is swung back and forth past an imaginary point and marked for a wedge to be removed. She is absolutely thrilled with the more youthful appearance of her earlobes and is shown before and again at 3 months and again, just after re-piercing her ears in the office.
An Indian man in his mid 30’s with an enlarging lipoma of the forehead. Typically this would be excised through an incision in a forehead crease line but he does not have crease lines and has a skin type that does not heal well with surgery. After discussions, I recommended that we remove this with an endoscope through two small incisions in his hairline, similar to the approach for an endoscopic brow lift. He is shown before and again, 4 weeks after surgery.
An Asian woman in her early 20’s who has a partial cleft of her right ear, and a tear of her left ear that had healed with a thickened scar and then split through the lower ear lobe. She is shown before and again, 3 months after repair in the office. Scars will typically get thicker for 6 weeks and then softer and fade over the next 2 years. At three months her ear lobes are ready to re-pierce. We have had her using Aquaphor for the first 6 weeks after her initial repair, and then, topical silicone.
A woman in her mid 70’s with a large defect of her nose after Mohs excision of a basal cell carcinoma. She is shown just after Mohs and again, 1 year after a v-y Rieger flap of her nose performed under local with iv sedation as an outpatient.