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Repair of large holes in stretched earlobes

incision further into an entirely intra-auricular incision (minus the posterior limb), giving an even better cosmetic outcome (Fig. 2a–c). We have modified our practice to routinely performing our parotidectomies with this mini-incision, and outcome so far has been encouraging. We found this incision, with sufficient undermining of the skin flaps, provides sufficient exposure suitable for smaller tumours. This ‘modified intra-auricular mini-facelift ‘ incision allows us to retain the option of extending the incision into a formal modified facelift incision as described, should the need arise.