Congenital cleft earlobe is a type of congenital earlobe deformity. The severity of the cleft varies, ranging from a simple earlobe cut to a severe microtia. There are four types of congenital lobe clefts: Ⅰ vertical cleft, Ⅱ transverse cleft, Ⅲ triple lobe type, and Ⅳ defective lobe. In severe cases, the entire earlobe is missing. Because of the importance of the earlobe in facial aesthetics, most earlobe deformities require surgical correction, especially for women who intend to wear ear pendants. Earlobe cleft correction aesthetic: 1.Direct suturing: For larger earlobes, the full thickness of tissue at the edge of the cleft can be removed and the skin sutured in place. 2.”Z” shaping: The skin of the edge of the earlobe cleft is cut open, two “Z” arms are designed and cut, and the two triangular flaps on the same side are sutured after exchanging positions, and the front and back skin is sutured separately. See Figure 2. Earlobe fissure is a minor surgery, but it is very demanding and requires precise suture alignment to be as consistent as possible with a healthy earlobe. Z reshaping preoperative design1 Z reshaping preoperative design2 Z reshaping postoperative result Direct suture preoperative Direct suture postoperative result