Earlobe Repair – Patient 141
A woman in her mid 40’s with a partial cleft of her left ear, presumably from sleeping with her earrings in place. The slit allows her earring backings to pull through and the earrings to slant down. In addition she has some drooping of the ear lobe with earrings in place. She has elected for an ear lobe lift at the time of repair.
A small wedge is designed by gently pulling the ear lobe back and forth across an imaginary center point. This corrects the drooping at the time of the earlobe repair and is the difference between a standard repair and a lift.
Cleft Earlobe – Patient 139
A man in his mid 20’s who wishes to join the army but has “gauges” in his ears. He is shown before and again, 6 weeks after repair. Scars are at their thickest and reddest at 6 weeks but will not begin to fade and improve over the next 2 years. He is happy to have “normal” earlobes again.
Cleft Earlobe – Patient 138
A woman in her later 60’s who has had her ear lobe repaired in Boston 8 years before, but has torn it again. She does not have a history of trauma to the ear or of wearing large hoop earrings. It is fine to fix it again, but better to prevent it recurring. On further discussion it turns out that this is the side that she sleeps on. She wears large diamond studs and does not take them out at night. So the earring post may lever back and forth across the earlobe while she is sleeping and slowly cut through it. The solution after she is to plan to take the earrings out when sleeping. She is shown before and again, 4 months after an ear lobe lift. A lift is a little different than a simple repair. Instead of simply excising and repairing the cleft as we might do in someone younger, the ear lobe is swung back and forth across an imaginary point and a wedge is marked. This corrects the drooping of the earlobe and restores a youthful appearance. Scars will continue to fade and improve for 2 years after surgery. I typically recommend that patients wait 3 months to have the earlobe repierced.
Earlobe – Patient 136
A woman in her mid 40’s whose ear piercing has stretched out and elongated to the point that her backings are pulling through the ear and the earrings hang unnaturally. She is shown before and again, 3 months after repair. In her case we did not need to repierce her ear as her previous piercing was brought forward by the surgery into a good position on each earlobe.
Cleft Earlobe Patient – 135
A woman in her early 60’s who is bothered by drooping and a cleft of her earlobe. She is shown before and again, 5 months after a repair, combined with an “ear lobe lift” in the office. A lift is similar to a repair but a slightly larger wedge of skin is removed to account for the excess skin that occurs as the earlobe deflates with age. The earlobe is swung back and forth past an imaginary point to precisely mark the size of the wedge to be excised. In this way, the ear lobe appears more youthful after the repair than it would by only repairing the cleft.
Cleft Earlobe – Patient 132
A woman in her later 30’s who is bothered by splitting of her earlobes with elongation of her ear piercings that cause her backs to pull through the ears and the earrings to droop and sit funny. She is shown before and again, 3 months after correction in the office with an earlobe lift.