Use of a conchal bowl flap for repair of the earlobe.

A 69-year-old man presented with loose, pendulous skin affecting his earlobe that had been treated 2 years earlier with a wedge excision for squamous cell carcinoma in situ. Histological examination of this tissue revealed no residual carcinoma but demonstrated fragmented elastic fibers indicating postoperative acquired cutis laxa. The affected tissue was excised with an incision extending down the angle of the jaw, and the remaining earlobe was secured to the lateral cheek. Standing cones were repaired in the preauricular space by M-plasty flaps. The patient was left with minimal residual earlobe tissue as a result of this procedure (Figure 1).