Earlobe repair surgery tightens and reconstructs damaged earlobes that have been ripped, scarred, or stretched to the point of sagging, either due to aging, wearing heavy earrings, or gauging (intentional stretching). Also called earlobe reduction or a “lobe lift,” this quick cosmetic procedure can balance asymmetrical earlobes, make overly large earlobes more proportional, or subtly sculpt attached, stretched lobes called “pixie ears.”Â
During earlobe repair or reduction surgery, a plastic surgeon fixes any irregularities or tears, eliminates lumps or scars, and reshapes the tissue.
It's important to choose a doctor who has experience with fixing the type of earlobe damage you have, to create natural-looking results. Dr. Franziska Huettner, a board-certified plastic surgeon in New York City, explains that “the experience level with this type of surgery varies amongst providers. A torn earlobe would be different from a stretched earlobe, in terms of the repair it requires.”
As you’re choosing your surgeon, look for before and after photos and reviews from patients who had similar earlobe concerns, so you know they can fix it in a way that meets your expectations.
RealSelf Tip: If you're more concerned about ears that stick out or seem too big, you may be interested in an ear surgery called otoplasty, a plastic surgery procedure that reshapes the whole ear. You might also consider Earfold, which pins back the ears.
Pros
Cons
RealSelf Tip: If your primary concern is mild sagging and thin skin, earlobe rejuvenation with injectable dermal fillers could be a better choice for you than a surgical repair. Many providers use hyaluronic acid-based fillers, like Juvéderm or Restylane, to add volume and make lobes look more youthful for up to a year.
The cost of earlobe repair depends on the extent of your procedure, your surgeon’s credentials, and their location. Doctors typically charge per earlobe.
Insurance may cover reconstructive surgery that’s deemed medically necessary by your doctor, but cosmetic surgery isn't covered.
Talk with your provider about whether your case might qualify as medically necessary.
The earlobe repair photos in our gallery have been shared by the surgeon who performed the procedure, with the patient's consent.
Good candidates for earlobe repair or reduction have:
This is widely considered to be a very safe type of cosmetic surgery when performed by an experienced surgeon.Â
To reduce your risk of side effects like bleeding, be honest with your doctor about your medical history. Disclose any medications you’re on, including over-the-counter medicines such as aspirin, ibuprofen, and naproxen, which can contribute to bleeding during surgery.Â
Don’t drink any alcohol for 24 hours before and after surgery, and avoid smoking for at least two weeks pre- and post-op (nicotine can impair your body’s ability to heal).
If you have a cold, the flu, an infection, or a fever, let your doctor know prior to your procedure.
Earlobe repair procedures are usually performed in-office by ear, nose, and throat specialists (otolaryngologists), facial plastic surgeons, or dermatologic surgeons.
The surgery may take anywhere from 15 minutes to an hour, depending on your unique situation and treatment plan. Local anesthesia is all that’s needed to numb the area.
For overly large or sagging lobes, these are the most common surgical techniques.
Tiny sutures are then used to close the incisions. Scarring is minimal with either of these methods.
To repair stretched lobes from gauge piercing, some tissue often needs to be removed in both the horizontal and vertical parts of the hole to create a natural shape, explains Dr. Joshua Cooper, a board-certified plastic surgeon in Seattle. “Otherwise, it is possible to end up with an earlobe that looks long or pointed.”
You should feel fine to return to work and other normal activities (except for exercise and other vigorous physical activity) immediately after surgery. Just be aware that your lobes will be covered in bandages.Â
Follow your doctor’s recommendations, which may include:
You might experience redness, temporary bumpiness in the lobes, and bruising. These symptoms are normal and usually resolve within a few days.
Unless your surgeon uses dissolvable sutures, you'll have them removed at a follow-up appointment a week after your procedure.
You'll be given local anesthesia for the surgery itself, so you will be comfortable throughout the procedure.Â
You may be given prescription pain medication for the first day of recovery, but most patients don’t require more than over-the-counter pain medication (ibuprofen or acetaminophen). In Dr. Kraft’s experience, “many patients require no pain medication.”
If you have severe pain, call your surgeon immediately; this can be a sign of infection.
You can safely undergo earlobe piercing and wear earrings again 2 to 6 months after a repair procedure.
Doctors strongly recommend that you get your re-piercing to the side of or above the scar, to reduce the risk of a future tear. “Scar tissue does not hold onto the earring as well as normal skin,” Dr. Kraft explains.Â
Removing your gauged ear piercings can help stop the stretching, but there isn’t an at-home method that will help. The only way to truly reduce your earlobe size or repair damage is surgery.
Updated September 2, 2023