Pleats around the ear are routine and result when there is moderate to severe skin redundancy of the neck. Since this area is at the end of your incision, there is no where to work the redundancy. Revision of the pleats is not possible without extending the incision to the back of your neck. This would be unsightly and thus not acceptable. The correction for this problem is patients as time will allow the body the necessary time to literally reabsorb skin redundancy.