Earlobe Repair & Reduction

A surprising number of patients contact our office regarding ear lobe repair.  Most commonly, they are concerned about the elongation or perhaps complete pulling through of the pierced earring holes on their lobes.  In addition, we have also been asked to repair lobes that have been “gauged” for cosmetic reasons but the patient now wants to return the earlobe to its original form.  Finally, we have reduced overly large earlobes that are the consequence of aging.

Earlobe Repair & Reduction Overview

Elongated or torn ear lobe piercings

This is a fairly common problem that is easily repaired under local anesthesia in our office.  After injecting a local anesthetic, the pierce site is excised and the defect closed with stiches that remain in place for about a week.  Pain after the procedure is minimal, and you can resume normal activities right away.  Your original pierce hole will be gone, but this can be repierced in 5-6 weeks.

Repair of gauged earlobes

This is typically a more extensive procedure than repairing a simple piercing.  Although the earlobe gauge will stretch and distort the lobe,  typically no tissue is lost, enabling us to rearrange and shape the tissues back into a normal appearing lobe.  These cases can be fairly simple or complex, depending on the tissues available for repair.  As with piercing repairs, these can be performed in our office under local anesthesia, and we will need to place stitches that will remain in place for about 7-10 days.

Earlobe reduction

Reducing the size of overly large earlobes can be done in our office under local anesthesia as an isolated procedure, but is often done in the operating room as part of more extensive procedures (facelift, necklift, etc.). As with other types of earlobe repair, the pain following the procedure is fairly minimal and sutures are removed in 7-10 days.  Scars are placed to minimize visibility.