Correction of lying ear and aesthetic modification of helix and ear lobule with hyaluronic acid filler injection: Experience in Chinese patients

Yiming Li and Weiwei Dong and Lingmei Zhang and Ying Yang and Yang Song and Ning Shi and Shiyi Li and Mohd Firdaus Mohd Hayati and Ling, Sophia Heng Si and Yujun Tang (2024) Correction of lying ear and aesthetic modification of helix and ear lobule with hyaluronic acid filler injection: Experience in Chinese patients. Aesthetic Surgery Journal, 44. pp. 746-756. ISSN 1090-820X

Text FULL TEXT.pdf Restricted to Registered users only Download (39MB) | Request a copy

Abstract

Background: Large and long ears are regarded as symbols of wealth and health in East Asian culture, and people with lying ears often want their ears to be more exposed and prominent. Surgeries to correct lying ears have been documented. Objectives: The aim of this study was to report the correction of lying ears and the aesthetic modification of helix and ear lobule with hyaluronic acid (HA) injections. Methods: HA injections were performed at the auriculocephalic sulcus to increase the cranioauricular angle (CA) and correct lying ears. The injections at helix and lobule were case specific. The CA was measured and photographs were taken at baseline and at 1-, 3-, 6-, and 10-month follow-ups. Efficacy was assessed with the 5-point Global Aesthetic Improvement Scale (GAIS). Adverse events were recorded. Results: Forty-six patients (92 ears) received HA injections and completed follow-ups. Instant correction outcomes were observed. Sixteen (34.8%) patients received 1 touch-up injection, the clinical efficacy of which persisted for 1 to 1.5 years. For over 90% of cases with touch-up treatment the GAIS was “very much improved” or “much improved” at all follow-ups. The GAIS for over 70% of cases without touch-up treatment was “very much improved” or “much improved” at 1-, 3-, and 6-month follow-ups. CA increased significantly compared with the baseline. Patients also reported “more V-shaped face shape” and “lifted jawline” effects. No serious adverse events occurred. Conclusions: As an alternative technique to surgeries, HA filler injections at the auriculocephalic sulcus effectively corrected lying ears. This technique produced immediate, long-lasting, and aesthetically pleasing results. The side effects and downtime were minimal

Item Type:	Article
Keyword:	Ear, Esthetics, Helix, Snails, Hyaluronic acid, Surgical procedures, Operative, Ear lobe, Adverse event, Touch sensation, Dishonesty
Subjects:	R Medicine > RD Surgery > RD1-811 Surgery > RD118-120.5 Plastic surgery. Reparative surgery R Medicine > RM Therapeutics. Pharmacology > RM1-950 Therapeutics. Pharmacology > RM695-893 Physical medicine. Physical therapy Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SITI AZIZAH BINTI IDRIS -
Date Deposited:	25 Jul 2025 15:04
Last Modified:	25 Jul 2025 15:04
URI:	https://eprints.ums.edu.my/id/eprint/44638

Actions (login required)

View Item