EARFOLD™ Implantable Clip System

Manufacturer : Allergan

Active Substance(s) : Nitinol

Pack Size : 1 clip + insert device

Accessories : Package insert, pre-fold positioner, traceability labels

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Buy EARFOLD™ Implantable Clip System By Allergan Online


Main Benefits

  • Helps correct prominent ears and ear shape.
  • Minimally-invasive alternative to otoplasty.
  • Made of a metal alloy and plated with 24-carat gold to reduce visibility.
  • Special pre-fold tool can help patient see their new ear shape before the procedure.


Nitinol device coated in 24-carat gold.

Ingredients Information

  • Nitinol: Nickel and titanium alloy is a Shape Memory Alloy (SMA) which will revert to its pre-set shape after insertion.

Use Instructions

  1. Before procedure, advise patient of risks and benefits as well as other treatment options.
  2. Advise patient there may be differences in outcome with the device versus with the positioner.
  3. Put patient in front of mirror.

See full procedure here

Removal Instructions

Although device is designed to be permanent, you may need to remove implant if there are complications or unsatisfactory results.

  1. If replacing with new implant, mark location of new implant before removing existing implant.
  2. Open incision. If the implant has been in place long enough for a capsule to form, open the capsule.
  3. Dissect skin overlying implant using fine tenotomy scissors or a small hemostat.

See full procedure here


  • Do not implant in patients with impaired healing, such as current smokers, diabetic patients, and those with autoimmune disorders such as Ehlers-Danlos Syndrome or Scleroderma.
  • Do not implant in patients with body dysmorphic disorder, history of deliberate self-harm, or other signs of psychological instability.
  • Do not implant in patients with active local or systemic infection.

See more precautions here

Frequently Asked Questions


What is it?

This medical device is made of nitinol, which is a nickel and titanium alloy, coated with 24-carat gold so it is less visible beneath skin. Use this device to reshape the ear, correcting prominence, as an alternative to otoplasty.

When should I use this medical device?

  • This device is meant for permanent use.
  • This device is suitable for patients as young as seven years old.

Why do doctors use this device?

Otolaryngologists, plastic surgeons, or other doctors may recommend this medical device to their patients who have prominent ears or other issues with ear shape. They may recommend the ear-shaping device as an alternative to otology surgery, since it is inserted in a minimally-invasive procedure. This device is most suitable for those that have a poorly-developed antihelical fold, and may not be suitable for those that have a deep conchal bowl.

How does it work?

This device is made of a metal that reverts back to its pre-set shape. When you implant the ear-shaper in the ear and release it from the introducer, it reverts back to its original shape. As it does this, it repositions the ear to be closer to the head and less prominent.

When and how do I use it?


How do I use this medical device?

Insert this device once, and it is meant to last indefinitely. To use this device, insert it into the ear to resposition the ear to a less prominent position.

  1. Insert this device once for results that last.
  2. Determine the desired ear position using the positioner.
  3. Insert the device using the introducer then release.

Can this ear-shaping device be combined with other treatments?

You can insert this device in conjunction with surgical procedures to correct ear shape. Insert the ear-shaping device after the other surgery is complete.

How do I store it?

Store this device in a cool, dry place away from direct sunlight.

Where can I buy it?

You can buy it online at Doctor Medica by choosing a quantity and adding to cart. You can also phone a helpful customer service associate to order this medical device or other cosmetic and medical supplies.

What are some side effects or complications?

  • Infection within days or weeks, with symptoms including erythema, tenderness, fluid accumulation, pain, and fever. If infection is unresponsive to treatment, implant removal may be necessary.
  • Skin erosion within weeks, months, or years. Remove if exposed.
  • Keloid scarring. Consider removal.
  • Hematoma as a result of the procedure or from blunt trauma after implantation. Patients should keep head elevated for 24 hours after implantation.
  • Cartilage tear if there is sudden blunt ear trauma after implantation or aggressive cartilage-perforation procedures. Implant removal may be necessary.
  • Pain or discomfort when lying on ear, which is usually temporary and resolves on its own. If pain and discomfort persist, implant removal may be necessary.

These may not be all the possible side effects.

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