Some of the conditions we treat are partially or totally torn earlobes, keloid scars of earlobes, elongated earlobes, or earlobes with a fold or crease in them. Earlobe repair or rejuvenation can be a simple but very rewarding procedure. Torn earlobes usually occur to women who either have worn heavy earrings or had a child pull on their earring. An earlobe could be torn partially or totally, and the surgical treatment is adjusted to the nature of the problem. This technique can also apply to people with keloid scars on their earlobes after having an ear-piercing. For the patient who is bothered by a protruding or elongated earlobe, which usually comes with age, then a wedge of the skin may be removed, thus shortening the earlobe. If a crease appears in the middle of the earlobe and creates a fold, then injecting the ear with Restylane or Radiesse can solve the problem for months to years, but not permanently.
An initial consultation is set-up where we discuss your options, and whether you are a good candidate for the procedure. Since this is an in-office procedure, preparation is minimal. Since the ear has an excellent blood supply, patients are encouraged to stop medications that cause bleeding, such as aspirin, or aspirin products such as Ibuprofen, a week before this procedure. Mild to moderate pain is alleviated with local anesthesia.
In most pierced ears, the pierced hold gradually enlarges over time. If it tears, the final tear is usually just through a tiny piece of tissue at the bottom of the lobe. In this case, an immediate repair will not take care of the skin covered slot, so reconstruction is delayed until after the wound has healed and inflammation has diminished. However, if the tear starts from a tiny pierced hold, immediate repair is an option.
Depending on the deformity, torn earlobe repair can take different forms. In all methods, the skin lining the slot is removed creating a raw edge to rebuild. When tissue has been lost, however, the procedure is more complicated, and reconstruction involves creating normal proportions around a somewhat small ear.
Torn earlobes are a common problem for those with pierced ears. A partial or complete earlobe tear can result from over-usage of heaving earrings that stretch the earlobe.
Reconstruction can be performed in a variety of ways depending on the tear.
The Z-plasty and L-shape technique are effective in avoiding a “W” shape at the end of the earlobe. A straight excision scar may shorten over time as it heals, pulling the bottom of the earlobe upwards to create a “W” shape. Using the Z-plasty and L-shape effect can work to avoid that issue and leave a cleaner, less noticeable scar.
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