When ears are pulled down after a facelift onto the cheek, this is sometimes referred to as a pixie ear because of the pointed nature along the attachment of the earlobe to the face. This happens when there is too much tension on the face skin or when the earlobe is detached from its normal position. Patients have come to me with this problem from prior work done by others. I have fixed this by hitching up the skin underneath the ear and detaching the lobe from the cheek to allow it to properly dangle.