A woman in her mid 40’s with a partial cleft of her left ear and drooping of both earlobes. She is shown before and again, 3 months after a bilateral earlobe lift/repair and just after repiercing in the office. With an earlobe lift, a wedge is marked by swinging the earlobe back and forth past an imaginary point to precisely mark a wedge of excess earlobe to be removed.
A 16 year old woman with a partial cleft of her left ear. After discussions it may be from sleeping with her earrings in at night. She is shown before and again, 3 months after repair of her cleft earlobe under local anesthesia in the office. Scars typically get thicker and pinker for 6 seeks after surgery and then begin to fade and improve over the next 2 years. By 3 months her earlobe is ready to be repierced.
40 yo Indian woman with bilateral stretching of her earlobe holes and a drooping appearance of the earlobes. Her right lobe was looser and droopier than the left. An earlobe lift was marked in the office by swinging the earlobe back and forth past an imaginary central point and marking a precise wedge to be removed. She is shown just before and again, 3 months after her surgery when she returned to have her ears re-pierced in the office. Scars will typically continue to fade and improve for the first 2 years. Because she tans easily, she is more prone to “post inflammatory hyperpigmentation”, a darkening of any scar that is still pink when it is exposed to the sun. She will need to continue to protect her earlobes from exposure to the sun over the next 12 months.
A woman in her early 30’s who is bothered by a complete split of her left ear lobe. After discussion this is most likely from sleeping with her earrings in, as she does not have this problem on her opposite ear. She is shown before and again, 3 months after repair of her cleft earlobe in the office under local anesthesia. I typically wait 3 months to re-pierce the ears and she is shown just after piercing as well. Scars will typically get thicker for 6 weeks and then soften and fade over the next 2 years. By 3 months her scar has started to settle.
A woman in her later 50’s with a partial cleft of her earlobe and a drooping appearance of her earlobe. She is shown before and again, 3 months after a earlobe lift/repair. In an ear lobe lift, the earlobe is swung back and forth past an imaginary central point to mark a precise wedge. This is excised along with the earlobe cleft and by removing the excess earlobe from atrophy and aging gives a more youthful and “lifted” appearance to the lobe.
A man in his later 20’s who has gages of his ears. He has especially overstretched his right ear and has some excess skin behind the earlobe as well. He has been hired for a new job but his employer will not let him work until the gauges are corrected.
He is shown before and again, 3 months after bilateral gauges repair under local anesthesia in the office. Scars typically become thicker and redder for 6 weeks and then fade over the next 2 years. At 3 months he already has an excellent appearance and can expect the redness of the scars to continue to fade with time. He does not plan to have his ears re-pierced.
A woman in her 30’s who had gauged her ears up to the size of a dime and was bothered by their appearance. Her medical history is complicated by Factor V Leiden and also by being on Plaquenil for an inflammatory arthritis/Lupus condition. She is shown before and again, 3 months after gauges repair/earlobe lift. The redundant tissue was marked by swinging the earlobe back and forth past an imaginary point and marking the wedge of skin, which enclosed the prior gauge. Multiple layers of absorbable sutures were used to maintain the proper strength of the repair while healing, and she was instructed to protect her ears with bandaids while sleeping.
She is shown again 3 months after surgery and is thrilled with the new correction of her gauges and the beautiful and youthful contour of her earlobes.
A woman in her mid 50’s who has had a double cleft/ double tear of her left earlobe for 30 years. She thought this may be from wearing heavy earrings but has no tears on her right side which has been pierced in 3 places. The clefts were too close together to be repaired separately with individual incisions and maintain the blood supply to the central piece. But she has enough extra earlobe that a wedge was marked in a similar fashion to an ear lobe lift and was excised in the office under local and repaired in layers. She is seen again 3 months after repair and just after re-piercing the earlobe for her in the office.
A woman in her early 30’s with a partial split of her right earlobe over the last 3-4 years which keeps her from wearing earrings. She does not have enough laxity to warrant an earlobe lift. She is shown before and again, 3 months after a repair of the earlobe in the office. After placing a local anesthetic, the cleft portion of the earlobe is excised through the end of the earlobe and then repaired in layers. The scars typically get redder and thicker for 6 weeks and then begin to soften and fade over the next 12-24 months. By 3 months most patient’s earlobes are ready to be re-pierced.
An RN in her later 20’s with a history of gauges. She no longer liked the look anymore and also did not like the drooping earlobes. She is shown before and again, 3 months after repair in the office. A wedge was marked on each ear by swinging the earlobe back and forth past an imaginary point. This wedge included the enlarged hole from the gauge stretching. This technique corrected the drooping of the earlobe as well as the gauge, restoring her earlobe to a youthful contour. Her ears were re-pierced for her in the office at the 3 month visit.