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Have you ever wondered what can be done for misshapen earlobes because of ageing, a congenital deformity, or a post surgical procedure? Now there is a simple solution for earlobe rejuvenation with hyaluronic acid dermal filler. The dermal filler may also be used to improve an ear-piercing hole that has become elongated from wearing heavy earrings. Earrings will sit in a better position by injecting small aliquots of the dermal filler around the hole to provide support.
* The earlobe is composed of tough areolar and adipose connective tissues, lacking the firmness and elasticity of the rest of the pinna.
* The earlobe contains a large blood supply, which may help to keep the ears warm. Otherwise, earlobes are not considered to have any major biological function.
* Earlobes average about 2 cm long, and elongate slightly with age. Whether the earlobe is free or attached is a classic example of a simple genetic dominance relationship in which freely hanging earlobes are the dominant genes, and attached earlobes are recessive.
* Earlobes are normally smooth, but occasionally exhibit creases. Creased earlobes are associated with genetic disorders, including Beckwith-Wiedemann syndrome. Earlobe creases may also be associated with an increased risk of heart attack and coronary heart disease. Because earlobes become more creased with age and older people are more likely to experience heart disease than younger people, age may account for the findings linking heart attack to earlobe creases.
* The earlobe does contain many nerve endings, and therefore for some people is an erogenous zone.
The technique for earlobe rejuvenation is low risk procedure if proper aseptic technique is followed.
* Discuss procedure including the risk of bruising, swelling, prolonged erythema, discomfort; need for repeat injections to maintain results; duration of results varies among individuals.
* Sign informed consent after a discussion with the supervising physician.
* Photodocumentation to include notation of asymmetries.
* Palpate the earlobe for any irregularities or nodules.
* Cleanse area to be injected with an antiseptic solution such as 70% alcohol or chlorhexidine.
* Apply a cool ice pack to the earlobe for 60 seconds to decrease vascularity and provide an anaesthesia effect.
* Grasp the earlobe firmly between your thumb and index finger.
* Slowly inject small droplets of a hyaluronic product, such as Restylane or Juvederm. Ultra, in a circular pattern around the piercing hole. This will help to tighten the diameter of the hole. You can then move outward to fill in the entire lobule (Fig. 1).
* Depending on the correction needed, the amount of injected filler may be 2 to 4 ml for each lobule.
* Apply firm pressure for 1 minute to minimize bruising and edema.
* Because of the vascularity, the earlobe may appear red and feel warm for a prolonged period of time. Reassess the injected area 2 weeks post treatment and add more product if necessary. Retreatment may be necessary in 6 months to maintain the results.
* The client may resume wearing earrings in 1 week (Figures 1 and 2).
It is surprising how many people are bothered by aging earlobes. When this option is mentioned they are thrilled to know that there is a simple, low risk method to give their earlobes a more rejuvenated and youthful appearance.
1. Mowlavi A., Meldrum D. G., Wilhelmi B. J., Zook E. (2004) The incidence of earlobe ptosis and pseudoptosis in patients seeking facial rejuvenation surgery and effects of aging. Plastic and Reconstructive Surgery, 113(2), 712-717 http://www.wikipedia.org/wiki/Ear.
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