2813 W Southlake Blvd #130

Southlake, TX 76092

Stretched Earlobe repair

Procedure Details

This 29 year old female from Dallas, Texas had incompletely torn earlobes bilaterally. The piercings were stretched so that earrings would fall out, backing and all. The stretching occurred slowly over time and was subtle at first, but eventually, valuable earrings started falling out and getting lost. The patient tried and failed with "as seen on TV" products and sought a permanent repair.

Earlobe Repair= Happy Surgery!

The surgical plan was to treat each injured earlobe as a tri-laminar structure. The skin on the front (anterior) and back (posterior) surfaces make up the two outer layers, and a strong inner connective layer.  All three layers must be prepared surgically and precisely repaired.?
The procedure is performed under local anesthesia.  Typically the  patient reports very little to no discomfort during injection.  This should be of some comfort to people who dislike needles! The numbing medicine has adrenaline (epinephrine) which causes the blood vessels constrict so there is very little or no bleeding.
The first step in the repair is to remove the scar tissue that formed when the piercing tore.  Unless the scar tissue is excised, repaired edges will never "stick together".  The scar is excised using a surgical scalpel to create skin edges that are ideal for suturing.
The dense connective tissue in between the skin edges is identified and precisely approximated using a dissolving suture.  It is this layer that provides the real strength to the repair.  Finally, the skin is carefully closed using permanent sutures that are removed after about two weeks.
About four weeks after the repair, the patient returns for re-piercing.
Recovery after earlobe repair is very easy.  Discomfort is minimal.  An airline travel pillow is helpful to keep the weight of the head off of the repair site.  Usually, ibuprofen in low doses is needed for several days for discomfort.  The risks of any complication are extremely low, and patients are thrilled when they can wear earrings again.  It truly is “Happy Surgery”


Scott E. Kasden, M.D.

*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.