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.