Ear lobe crease and lump from piercing (photos)

It should be fairly simple to surgically remove the crease and lump on your earlobe.  There may be a flat, thin line scar afterwards, but it should be less noticeable than the crease and lump you have now.  

Our office repairs earlobes after a traumatic tear of earrings, gauge piercings, or after a facelift in which the earlobes are stretched. Earlobe surgery is composed of several techniques that can either repair torn earlobes (split earlobes) or correct overly redundant earlobe tissue from piercings or genetics or stretching. Our HIDEF earlobe repair includes a recontouring of the earlobe contour using multi-layered sutures to reapproximate the curvature of the earlobe; while simultaneously restoring contour to the ear. In patients with pixie ears after facelift surgery, an alternate technique is used to reduce the dependance of the earlobe on the facelift flap. Facelift surgery can reshape the earlobe and this requires restoration. Sutures are usually taken out within 10 days and the wound is repierced in 4-6 weeks thereafter. Keloid scars must be addressed in patients with known history for scarring.

Keloids are another major reason to undergo earlobe repair if there is a keloid scar nodule that has developed in the earlobe or ear cartilage rim. We use a combination of lasers, injections, and keloid surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

this is rather unusual but nothing to be worried about.  A simple procedure performed under local anesthetic should be able to remove the lump improve the crease. You will however have a small scar on the earlobe. I didn't see an actual piercing, and I am wondering if the hole has closed up. This can sometimes cause a small cyst in the earlobe.