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Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review

21성형외과의원 · 21 PLASTIC SURGERY · October 23, 2025

Hello, this is Director Lee Won from 21 Plastic Surgery. Today, I’d like to introduce a patient case in which we comprehensively considered a facelift, neck lift, and improvement o...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 21성형외과의원

Original post date: October 23, 2025

Translated at: April 20, 2026 at 2:07 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 1

Hello, this is Director Lee Won from 21 Plastic Surgery.

Today, I’d like to introduce a patient case in which we comprehensively considered a facelift, neck lift,

and improvement of knife-edge earlobes.

If you are concerned about sagging skin and a loosened facial line due to aging,

you may be looking for a surgery that can improve wrinkles and refine the facial line at the same time.

When a facelift and neck lift are performed together,

both cheek sagging and the jawline/neck line can be improved simultaneously, making the entire face look younger and more three-dimensional.

However, you should also be aware that knife-edge earlobe deformity can occur after surgery!!

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 2

Example image of a knife-edge earlobe

A knife-edge earlobe refers to a condition in which the earlobe sticks tightly to the cheek, causing the aesthetic earlobe shape to disappear. Some people naturally have ears with a knife-edge earlobe shape, but it can also occur during closure if too much skin is pulled during a lifting procedure..

Although this type of deformity may seem simple, it often actually happens because there is insufficient skin below the earlobe, and since skin that has already been removed is difficult to reconstruct, prevention and correction are important.

So at our clinic,

we will explain in detail how we prevent and improve knife-edge earlobes

by looking at a real patient case. ^^

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 3

The patient who visited us this time

was a woman in her late 40s. She said she wanted to improve the downward sagging of her skin due to aging. And during the detailed examination, her existing ear shape showed a knife-edge earlobe shape, so correction was also needed during surgery. So the surgical plan was set as follows.

Surgical plan

[Facelift + Neck Lift]

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 4

In the first week after surgery,

swelling and bruising are usually at their worst, but this is a normal part of the recovery process, so there is no need to worry.

The sagging areas were neatly lifted,

improving the overall facial proportions, and if you look at the ear area in the photo above,

you can also see that the existing knife-edge earlobe has been

improved into a natural ear shape. ^^

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 5

In the second week after surgery,

as the swelling and bruising gradually subside, the facial contours are becoming much more natural.

So far, the patient has had a very good surgical recovery, and we were also looking forward to her future recovery process and results.

Ultimately, as time passes, the changes are expected to become even clearer

and more refined, so a more positive prognosis is expected for this patient. ^^

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 6

To improve a knife-edge earlobe,

when performing a facelift, the skin tension around the earlobe must be minimized as much as possible, and the pulling force on the skin must be accurately distributed so that a natural and attractive earlobe shape can be restored without revision surgery!!

At 21 Plastic Surgery,

not only for patients who already have knife-edge earlobes, but even for those undergoing a facelift for the first time, we carefully adjust the skin tension around the ears and the suture direction from the surgical planning stage onward so that knife-edge earlobe deformity does not occur after surgery.

Rather than pulling the skin excessively,

we focus on prevention with precise force distribution and suture design so that the earlobe line continues naturally.

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 7

The biggest advantage of a face-neck lift is

that the overall three-dimensional impression of the face changes dramatically.

Rather than simply removing wrinkles, you can achieve a naturally younger look across the entire sagging facial line and neck line caused by aging all at once.

Of course, methods that forcibly pull the skin or only remove skin

can instead increase the risk of side effects such as an artificial look, knife-edge earlobes, and scars, so you should definitely choose an experienced and skilled specialist!!

Natural Ear Lines Without Knife-Edge Earlobes: Facelift + Neck Lift Surgery Review image 8

At 21 Plastic Surgery,

through sufficient preoperative consultation, we carefully examine the skin and SMAS, neck muscles, and earlobes, closely analyzing each patient’s anatomical structure. Based on this, we design the most suitable customized plan for each patient, creating safe and satisfying results. ^^ If you have any questions, you are always welcome to consult with us. My greatest goal is to help patients regain their natural beauty. Thank you.

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