Rejuvenating earlobe esthetics with dermal fillers.

Background The external ear plays a significant aesthetic role in the appearance of the face. Chronological and extrinsic aging effects on the ear lobe get further pronounced since routine surgical aesthetic procedures for the face do not address these morphological changes. Ear adornment with jewelry and piercings further cause sagging of the ear lobe and stretch the ear piercing. Dermal fillers offer a viable option for ear lobe rejuvenation by increasing its volume and addressing the morphological changes with minimal adverse effects or downtime associated with surgery. Aims The authors aim to review the choice of dermal fillers used for ear lobule correction. The anatomy and its implications on techniques used for ear lobe rejuvenation are elaborated in this article based on the authors experience and reported literature. Methods All patients who had received ear lobe fillers were evaluated, treated and followed up. Literature review of experience of treating patients with hyaluronic acid fillers for ear lobule correction and their rejuvenation was reviewed. Results Hyaluronic acid fillers are a quick and easy method to restore the youthfulness and aesthetic ideals of the ear lobe. They address all the parameters of aging, volume deficit, reduction in the number and depth of creases and improvement in the number of wrinkles which surgical correction may not address. They can also be used for prejuvenation in younger populations expected to wear heavier ear jewelry. The results are immediate, long-lasting and the side effects and downtime are minimal.