Earlobes are composed of an upper attached part and a lower unattached or free part. They can be different lengths on either side of the head.The free part elongates with age so it can be 1.5 to 2 times longer in someone in their 70s vs. someone in their 40s. The optimal lengths are 5 to 10mm for the upper fixed segment and 5mm for the lower free segment.
The best surgical procedures to reduce earlobe size are those that do not result in a scar that directly connects to the outer edge of the ear in order to prevent notching. The triangular excision pattern on the bottom right most closely approaches the ideal excision pattern. Most earlobe reductions are performed in conjunction with facelift surgery but they can easily be performed alone under local anesthesia.
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