The cost for closure of stretched or "gauged" earlobes will vary depending on location and the experience of the surgeon you see. In Seattle, the cost is between $700- $1,200/earlobe. I perform all of these earlobe repairs under local anesthetic. Just as important, if not more important than cost, is choosing the right surgeon to repair your earlobes. Make sure you seek out a plastic surgeon who has experience closing stretched/gauged earlobes. These repairs are different than the closure of a simple torn earlobe piercing.With a gauged earlobe, some of the excess skin must be discarded, and oftentimes skin excision must be performed in both the horizontal direction (to shorten the lobe) and the vertical direction to narrow the lobe.If this technique is not used, you run the risk of having an unnaturally long or pointy appearing earlobe. Make sure that the plastic surgeon you meet with is not planning on simply closing these as a straight vertical line, or your earlobes will have an unnatural pointy appearance.Best of luck to you!