Restoration of curved earlobe configuration with scar tissue advancement flap combined with second-intention wound healing.

Reconstruction of earlobe curvature in a scar-deformed and displaced earlobe was accomplished by a combination of 1) hypertrophic scar debulking, 2) partial defect closure by scar tissue flap advancement to re-establish the cephalic extent of the neck at the infralobular crease, and 3) second-intention healing of the noncovered lower earlobe, preserving its surgically re-established curved configuration. Although this article specifically addresses scarring deformities of the earlobe, the same principles could be applied to congenital, noncicatricial tenting deformities.