{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T18:10:21Z","timestamp":1779127821358,"version":"3.51.4"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The most common deformity of the ear or earlobe appearing after a facelift is the pixie ear deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of this study was to devise and exercise a method to prevent ear deformity, including pixie ear, when performing a facelift and to correct it if it has already occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Extended deep-plane rhytidectomy was performed between January 2017 and May 2024, and 76 patients who had passed 12 months post-surgery were included in this study. Group 1 consisted of 40 patients, who underwent W-plasty of incision and a combined botulinum neurotoxin type A (BoNTA) injection around the incision site. Group 2 consisted of 36 patients, who underwent rotation of the lower earlobe after W-plasty of the incision and combined BoNTA injection around the incision site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In a postoperative comparison between the 2 groups, Group 2 demonstrated superior outcomes over Group 1 by 8.4% on the right and 8.9% on the left, which was statistically significant (P = .007, P = .006).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Partial rotation of the earlobe is demonstrated as a practical and effective surgical approach to prevent and correct pixie ear deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 3 (Therapeutic)<\/jats:title>\n                    <jats:p>For image description, please refer to the figure legend and surrounding text.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjag054","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T12:41:48Z","timestamp":1772800908000},"page":"680-687","source":"Crossref","is-referenced-by-count":0,"title":["Earlobe Rotation for Prevention and Correction of Pixie Ear During Rhytidectomy in Asian Patients"],"prefix":"10.1093","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9431-2424","authenticated-orcid":false,"given":"Chung Hee","family":"Han","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"2026051813473172100_sjag054-B1","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1097\/DSS.0000000000003415","article-title":"Simultaneous midface lifting surgery and immediate sideburn reconstruction with hair transplantation","volume":"48","author":"Park","year":"2022","journal-title":"Dermatol Surg"},{"key":"2026051813473172100_sjag054-B2","doi-asserted-by":"publisher","first-page":"NP1355","DOI":"10.1093\/asj\/sjaa317","article-title":"An update on the posterior earlobe\/concha mastoid suspension suture to correct \u201cpixie ear\u201d following facelift: review of 40 cases","volume":"41","author":"Kaye","year":"2021","journal-title":"Aesthet Surg J"},{"key":"2026051813473172100_sjag054-B3","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1097\/00006534-200105000-00074","article-title":"Simple repair of a pixie earlobe","volume":"107","author":"Hoefflin","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"2026051813473172100_sjag054-B4","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1055\/s-2008-1064546","article-title":"Plastic and reconstructive surgery of the earlobe","volume":"11","author":"Clevens","year":"1995","journal-title":"Facial Plast Surg"},{"key":"2026051813473172100_sjag054-B5","doi-asserted-by":"publisher","first-page":"1247","DOI":"10.1016\/j.surg.2024.06.017","article-title":"The pixie ear: how to prevent and correct it-a review of the literature","volume":"176","author":"Vaccari","year":"2024","journal-title":"Surgery"},{"key":"2026051813473172100_sjag054-B6","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1097\/00006534-198269010-00027","article-title":"A simple method for correction of the pixie earlobe","volume":"69","author":"Rich","year":"1982","journal-title":"Plast Reconstr Surg"},{"key":"2026051813473172100_sjag054-B7","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1097\/SAP.0b013e31802f6da7","article-title":"A new method for the correction of small pixie earlobe deformities","volume":"59","author":"Park","year":"2007","journal-title":"Ann Plast Surg"},{"key":"2026051813473172100_sjag054-B8","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.asj.2005.07.010","article-title":"Avoiding the \u201cpixie-ear\u201d deformity following face lift surgery by differential in setting and secondary intention healing","volume":"25","author":"Mowlavi","year":"2005","journal-title":"Aesthet Surg J"},{"key":"2026051813473172100_sjag054-B9","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1093\/asj\/sjy095","article-title":"Correction and prevention of the pixie ear deformity: a combined technique","volume":"39","author":"Kaye","year":"2019","journal-title":"Aesthet Surg J"},{"key":"2026051813473172100_sjag054-B10","doi-asserted-by":"publisher","first-page":"1954","DOI":"10.1097\/00006534-199811000-00022","article-title":"A new quantitative scale for clinical scar assessment","volume":"102","author":"Beausang","year":"1998","journal-title":"Plast Reconstr Surg"},{"key":"2026051813473172100_sjag054-B11","doi-asserted-by":"publisher","first-page":"688","DOI":"10.1016\/j.jss.2014.10.055","article-title":"Reliable scar scoring system to assess photographs of burn patients","volume":"199","author":"Mecott","year":"2015","journal-title":"J Surg Res"},{"key":"2026051813473172100_sjag054-B12","doi-asserted-by":"publisher","first-page":"1892","DOI":"10.1097\/01.prs.0000287275.15511.10","article-title":"Development and validation of a novel scar evaluation scale","volume":"120","author":"Singer","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"2026051813473172100_sjag054-B13","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/s00266-022-02970-z","article-title":"Combination of W-plasty and botulinum neurotoxin type A injection for preventing rhytidectomy scar in Asians","volume":"47","author":"Han","year":"2023","journal-title":"Aesthetic Plast Surg"},{"key":"2026051813473172100_sjag054-B14","doi-asserted-by":"publisher","first-page":"1165","DOI":"10.1097\/01.prs.0000156140.38695.5e","article-title":"The \u201cpixie\u201d ear deformity following face lift surgery revisited","volume":"115","author":"Mowlavi","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"2026051813473172100_sjag054-B15","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1016\/j.asj.2009.02.018","article-title":"Reducing the incidence of ear deformity in facelift","volume":"29","author":"Man","year":"2009","journal-title":"Aesthet Surg J"},{"key":"2026051813473172100_sjag054-B16","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s00266-015-0467-y","article-title":"How to avoid earlobe deformation in face lift","volume":"39","author":"Marlen","year":"2015","journal-title":"Aesthetic Plast Surg"},{"key":"2026051813473172100_sjag054-B17","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.1016\/j.bjps.2012.04.023","article-title":"Pixie ear deformity following rhytidectomy: \u2018prevention is better than cure\u2019","volume":"65","author":"Ghali","year":"2012","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2026051813473172100_sjag054-B18","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1097\/01.prs.0000179189.87555.ce","article-title":"The anchor tragal flap: a method of preserving the natural pretragal depression during rhytidectomy","volume":"116","author":"Ramirez","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"2026051813473172100_sjag054-B19","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/j.asj.2005.01.009","article-title":"Correcting deformities of the aged earlobe","volume":"25","author":"Connell","year":"2005","journal-title":"Aesthet Surg J"},{"key":"2026051813473172100_sjag054-B20","doi-asserted-by":"publisher","first-page":"187","DOI":"10.7181\/acfs.2022.00675","article-title":"Correction of pixie ear: infraauricular skin redraping method","volume":"23","author":"Kim","year":"2022","journal-title":"Arch Craniofac Surg"},{"key":"2026051813473172100_sjag054-B21","doi-asserted-by":"publisher","first-page":"797","DOI":"10.5999\/aps.2013.40.6.797","article-title":"Correction of severe \u201cpixie ear\u201d deformity after rhytidectomy with modified minimal access cranial suspension lift","volume":"40","author":"Sapountzis","year":"2013","journal-title":"Arch Plast Surg"},{"key":"2026051813473172100_sjag054-B22","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1093\/asj\/sjz348","article-title":"Restoration of the age elongated auricular lobe","volume":"40","author":"Fuente-Del-Campo","year":"2020","journal-title":"Aesthet Surg J"},{"key":"2026051813473172100_sjag054-B23","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1097\/SAP.0000000000000301","article-title":"A novel method for correction of the hypoplastic pixie earlobe deformity: V-Y advancement flap and dermofat graft","volume":"76","author":"Kim","year":"2016","journal-title":"Ann Plast Surg"},{"key":"2026051813473172100_sjag054-B24","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1097\/SAP.0b013e31828a0cbd","article-title":"Prevention of earlobe deformity in face-lifting","volume":"70","author":"Coscia","year":"2013","journal-title":"Ann Plast Surg"}],"container-title":["Aesthetic Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjag054\/67297840\/sjag054.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/46\/6\/680\/67297840\/sjag054.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/46\/6\/680\/67297840\/sjag054.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T17:47:53Z","timestamp":1779126473000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asj\/article\/46\/6\/680\/8513916"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":24,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,3,11]]},"published-print":{"date-parts":[[2026,5,18]]}},"URL":"https:\/\/doi.org\/10.1093\/asj\/sjag054","relation":{},"ISSN":["1090-820X","1527-330X"],"issn-type":[{"value":"1090-820X","type":"print"},{"value":"1527-330X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,3,11]]}}}