How do I reverse bilateral earlobe crease? (Photos)

Question

I am 29 years old, recently been through a very stressful life event (still ongoing). Had the crease on my left ear since I was in my early 20's and had my ear pierced, its developed further recently. The right ear crease has appeared all of a sudden. I am very concerned, it bothers me when I look in the mirror. Can you tell me whether or not this is reversible? Every time I look in a mirror it reminds me of the stressful event I am going through and it gives me further anxiety, no wrinkles.

Brian M. Harmych, MD, FACS · Answer

Small deformities of the earlobes can easily be improved with either a surgical procedure (earlobe repair) or with HA fillers. In my practice we almost exclusively perform earlobe repair for any earlobe deformity, whether caused by earlobe trauma or congenital / developmental issues. Earlobe repair can easily be performed under local anesthesia in the office and has is often considerably inexpensive. Be sure to consult with a board certified surgeon that performs a lot of earlobe repair and earlobe reconstruction procedures and be sure to review a portfolio of the surgeons own earlobe repair patients prior to making a decision to proceed with surgery.

Ryan Rebowe, MD · Answer

It is possible to make the crease slightly less noticeable, but will never truly be able to get rid of the scar. I think your goal should be to level out the scar with the remaining skin of the earlobe so that the indention is not so noticeable. This can be done with a simple scar excision and closure.

Raffy Karamanoukian, MD, FACS · Answer

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

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

Miguel Delgado, MD · Answer

The earlobe can be surgically repaired, or an injectable such as Juvederm, or for longer lasting results, fat injections with the patients own fat, can last for several years. Good luck.

Garrett A. Wirth, MD, MS, FACS · Answer

While an in person consultation will be necessary, you do have options to improve this area.  These range from fillers, fat injection to surgical repair.  Best wishes. WirthPlasticSurgery.com

Jeremy S. Hurren, BSc, MBBS, FRCS (Plast) · Answer

An in person examination would be necessary to advise you what would be the best approach. However, surgery under local anaesthetic has the potential to improve the crease. It is important that you understand that surgery leaves a scar. Scars are unpredictable and you should consider how you might feel if you make a poor or obvious scar. You could end up going through surgery only to remain just as concerned as you are now but by the scar not the crease.Best wishes

Rachel A. Ruotolo, MD, FACS · Answer

Thank you for your question. Based on your pictures, you will likely have a nice result from surgical excision and primary closure. This can be done under local anesthetic in the office. Keep in mind, that you will have a residual scar in the area of excision, but this will become less noticeable over time.Seek consultation with a board certified plastic surgeon who is experienced with external ear surgery. Good Luck!

Michele S. Green, MD · Answer

The best way to repair the crease on your ear lobe is to surgically repair the ear lobe by removing the crease and stitching up this area.  A temporary improvement can be seen also by using injectables such as Juvederm Ultra Plua into this area.  Please consult an expert in ear lobe and scar repairs for the best cosmetic results.  Best, Dr. Green

How do I reverse bilateral earlobe crease? (Photos)

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Answers (8)

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