Aging Earlobes (Rejuvenation)

Just as other parts of the face change over the years, so do the earlobes. Three aspects are commonly observed in earlobes of older people if compared with the young: larger size, deflation and skin wrinkling. Interestingly, all of these aspects play a role in the aging face where droopy tissues, facial volume loss and skin aging are commonly addressed within a comprehensive rejuvenation program.

The insightful and observing patient recognizes these age-related changes of the earlobes. Not all changes have to be equally significant in a person; in fact, usually it is only one or two aspects that appear most significant.

Enlarged Size

Over decades, the earlobes usually become longer indicated by the increased distance of the lobe bottom to the auricular attachment. Sometimes, it is primarily the free hanging earlobe that enlarges above the normal 1 to 5 mm but usually, both the entire lobe gets bigger. Earlobe reduction (LINK) is commonly combined with face and neck lifts and it can correct this problem. The incision lines are small and usually heal without aesthetic problem.

Volume Reduction

In some people, the loss of earlobe volume is the main effect of aging. Volume restoration can be easily performed with injectable filling agents or the patient’s own fat. Injectable fillers (i.e., hyaluronic acid fillers) used within the earlobes are temporary and they may last anywhere from 6 to 10 months or longer. Fat grafting is a powerful tool for balanced facial rejuvenation and fat injections proved useful for restoration of the deflated earlobes.

Skin Aging

Just like the remainder of the facial skin, the earlobes are exposed to genetic and sun-induced aging leading to loss of skin elasticity and wrinkling. Skin rejuvenation with resurfacing methods (i.e., facial peels or laser treatments) should be expanded to include the earlobes for an overall dermal improvement without obvious demarcations.

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