I perform earlobe reduction surgery quite frequently. The procedure is performed with local anesthesia (lidocaine) in the office and takes about 45 minutes per ear. There are two possible techniques: 1. Edge excision: This is the usual procedure. It involves drawing a line exactly marking the new desired earlobe size and shape. All tissue outside this line is removed, and the remaining skin edges are repaired, leaving a scar along the edge of the earlobe (facing neither forward nor backward) where it is generally well-concealed. Internal sutures dissolve on their own. The external sutures are removed about 2 weeks later. 2. Wedge excision: This involves a vertical incision along the earlobe, leaving a vertical scar that may be more visible. It is useful for patients who are interested in simultaneous repair of a torn earlobe or who have an attached earlobe (meaning that there is no skin hanging below the ear-cheek junction). Suture management is the same as above. All bandages are present for less than 24 hours. Cost for earlobe reduction is $1050 for one earlobe and $1950, as this is a much more involved procedure than simple earlobe repair.