The Three-Triangle Rotation Flap Technique for Aesthetic Ear Lobule Reduction
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ORIGINAL ARTICLE
FACIAL SURGERY
The Three-Triangle Rotation Flap Technique for Aesthetic Ear Lobule Reduction Vasileios Vasilakis1
•
Feras Yamin2 • Matthew H. Isakson1 • Joseph P. Hunstad1,3
Received: 22 May 2020 / Accepted: 19 July 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background Although the effect of normal aging on the appearance of the ear lobule is well known and defined, this often a neglected aspect of facial rejuvenation. Rhytidectomy offers a great opportunity to surgically enhance the aging earlobe. The objective of this study was to provide a step-by-step description of the execution of the three-triangle rotation flap technique for aesthetic ear lobule reduction. Methods The three-triangle rotation flap technique is described in a step-by-step fashion and illustrated by photographs and videos. All ear lobule reduction procedures that took place at our practice from December 2016 to February 2020 were retrospectively reviewed. Results A total of 16 patients underwent bilateral ear lobule reduction during face lift, neck lift, or both, and 7 patients underwent bilateral lobule reduction in isolation. None of the patients experienced complications, and revisions were not performed or required. Conclusions The three-triangle rotation flap technique relies on simple principles that can be adjusted to address
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01893-x) contains supplementary material, which is available to authorized users. & Vasileios Vasilakis [email protected] 1
Hunstad Kortesis Bharti Plastic Surgery Center, 11208 Statesville Road, Unit 300, Huntersville, Charlotte, NC 28078, USA
2
Division of Plastic Surgery, Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA
3
Division of Plastic Surgery, Clinical Faculty, University of North Carolina, Chapel Hill, NC, USA
all shapes and degrees of true ear lobule ptosis, as well as patient desire. It is employed in isolation or synchronous with rhytidectomy. When performed during rhytidectomy, it provides lobule stability and fixation. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Ear lobule reduction Earlobe reduction Facial aging Facial rejuvenation Rhytidectomy Face lift Neck lift
Introduction The lobule of the ear is significantly affected by normal aging. It becomes ptotic and elongated and develops creasing, in particular a distinct oblique crease [1,2]. These changes may appear more prominent following face or neck lifting. The importance of addressing these changes has been emphasized in the literature, yet it is often a neglected aspect of facial rejuvenation [3,4]. We consider the ear lobule an essential compone
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