Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study

Background: Ears play an important role in facial profiles. Lying ears are not perceived favorably in Asian cultures; therefore, surgical procedures are implemented to adjust this defect. However, surgery has complications and requires recovery time. We introduced a hyaluronic acid (HA) injection te...

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Main Authors: Zhezhen Xiong, Zhengzheng Jiang, Yaping Bai, Minxue Liang, Weitai Jiang, Kai Liu
Format: Article
Language:English
Published: KeAi Communications Co. Ltd. 2023-03-01
Series:Chinese Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2096691123000055
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author Zhezhen Xiong
Zhengzheng Jiang
Yaping Bai
Minxue Liang
Weitai Jiang
Kai Liu
author_facet Zhezhen Xiong
Zhengzheng Jiang
Yaping Bai
Minxue Liang
Weitai Jiang
Kai Liu
author_sort Zhezhen Xiong
collection DOAJ
description Background: Ears play an important role in facial profiles. Lying ears are not perceived favorably in Asian cultures; therefore, surgical procedures are implemented to adjust this defect. However, surgery has complications and requires recovery time. We introduced a hyaluronic acid (HA) injection technique to aesthetically improve ear prominence. Methods: This retrospective study examined 25 Chinese patients aged 20–47 years with congenital lying ears who received HA injections in the auricular base at Shanghai Ninth People’s Hospital and Hangzhou Yijie Medical Cosmetology Clinic between November 2019 and December 2022. The average injection volume was 6.32 ​± ​1.22 mL in the auricular base unilaterally, and the follow-up time ranged from 6 to 24 months. Morphological measurement data were recorded. Two-dimensional (2D) and three-dimensional (3D) images were obtained to evaluate the effects. Results: All patients showed improvements in ear prominence. The cranioauricular angle (CAA) increased from 22.24° ​± ​4.53° to 65.90° ​± ​5.38° immediately post-injection and was maintained at 49.18° ​± ​4.74° 6 months later. The ear projection (EP) increased from 14.75 ​± ​2.72 mm to 26.26 ​± ​2.94 mm immediately post-injection and was 22.51 ​± ​2.68 mm after 6 months. No serious complications were noted. Conclusion: HA injection in the auricular base effectively corrected the lying ears and aesthetically optimized the facial profile. It also had a face-lift effect that made the face look younger and more compact. The injection procedure was minimally invasive and required no recovery period. The effect was maintained for a long time and was satisfactory.
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spelling doaj.art-a2c11d2e9dcc4a6c94ff29a09f0d57812023-04-19T04:22:32ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112023-03-0151812Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective studyZhezhen Xiong0Zhengzheng Jiang1Yaping Bai2Minxue Liang3Weitai Jiang4Kai Liu5Department of Cosmetic Surgery, Yijie Medical Cosmetology Clinic, Hangzhou 310009, Zhejiang, ChinaDepartment of Cosmetic Surgery, Yijie Medical Cosmetology Clinic, Hangzhou 310009, Zhejiang, China; Corresponding author. Department of Cosmetic Surgery, Yijie Medical Cosmetology Clinic, 451 North Qiutao Road, Hangzhou 310009, Zhejiang, China.Department of Cosmetic Surgery, Yijie Medical Cosmetology Clinic, Hangzhou 310009, Zhejiang, ChinaDepartment of Cosmetic Surgery, Yijie Medical Cosmetology Clinic, Hangzhou 310009, Zhejiang, ChinaDepartment of Plastic and Reconstructive Surgery, Linhai Jiang Zhengzheng Plastic and Cosmetic Surgery Clinic, Taizhou 317099, Zhejiang, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; Corresponding author. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Huangpu District, Shanghai 200011, China.Background: Ears play an important role in facial profiles. Lying ears are not perceived favorably in Asian cultures; therefore, surgical procedures are implemented to adjust this defect. However, surgery has complications and requires recovery time. We introduced a hyaluronic acid (HA) injection technique to aesthetically improve ear prominence. Methods: This retrospective study examined 25 Chinese patients aged 20–47 years with congenital lying ears who received HA injections in the auricular base at Shanghai Ninth People’s Hospital and Hangzhou Yijie Medical Cosmetology Clinic between November 2019 and December 2022. The average injection volume was 6.32 ​± ​1.22 mL in the auricular base unilaterally, and the follow-up time ranged from 6 to 24 months. Morphological measurement data were recorded. Two-dimensional (2D) and three-dimensional (3D) images were obtained to evaluate the effects. Results: All patients showed improvements in ear prominence. The cranioauricular angle (CAA) increased from 22.24° ​± ​4.53° to 65.90° ​± ​5.38° immediately post-injection and was maintained at 49.18° ​± ​4.74° 6 months later. The ear projection (EP) increased from 14.75 ​± ​2.72 mm to 26.26 ​± ​2.94 mm immediately post-injection and was 22.51 ​± ​2.68 mm after 6 months. No serious complications were noted. Conclusion: HA injection in the auricular base effectively corrected the lying ears and aesthetically optimized the facial profile. It also had a face-lift effect that made the face look younger and more compact. The injection procedure was minimally invasive and required no recovery period. The effect was maintained for a long time and was satisfactory.http://www.sciencedirect.com/science/article/pii/S2096691123000055Hyaluronic acidLying earsAuricular baseFacial rejuvenation
spellingShingle Zhezhen Xiong
Zhengzheng Jiang
Yaping Bai
Minxue Liang
Weitai Jiang
Kai Liu
Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study
Chinese Journal of Plastic and Reconstructive Surgery
Hyaluronic acid
Lying ears
Auricular base
Facial rejuvenation
title Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study
title_full Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study
title_fullStr Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study
title_full_unstemmed Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study
title_short Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears: A retrospective study
title_sort hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears a retrospective study
topic Hyaluronic acid
Lying ears
Auricular base
Facial rejuvenation
url http://www.sciencedirect.com/science/article/pii/S2096691123000055
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