What is the Best Procedures if I Want 2 Get my Ear Repeirced After Keloid Removal?

You certainly will have to accept the risk of a recurrent keloid. In many instances, it is my opinion, htat tis is related to a metal allergy so you may want to consider a pure metal such as gold.

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 and hypertrophic scars
are common problems with piercings and gauged plugs. They can be excised, treated with
lasers, injections of kenalog and 5fu.
Pressure clips are sometimes useful during the healing process. Unfortunately,
there is some tendency for recurrence. Consider clips

Keloids of the earlobe are the product of the genetically directed healing mechanism in that part of the body - the earlobe.  Repiercing is likely to result in another keloid and I would strongly advise you against it.

The short answer is, repiercing is likely to cause keloids no matter what procedure is done. You body has demonstrated that it responds to the minor injury of piercing by forming the scar tumors know as keloids. If you have had these removed and healed well, consider yourself lucky and don't pierce again.

I don't recommend repiercing to my keloid patients.  Generally, this would cause the keloid to regrow and secondary surgery to remove it would engender even more keloiding.  Compression earrings can work to reduce keloid formation post-operatively, as would steroid injections.  There are a variety of great looking clip-on earrings available.  I know how much my patients love their pierced earrings, but sometimes it's better to be cautious than sorry. 

Hello,

I would suggest you resist the temptation to re-pierce your earlobe. The keloid recurrence rate will be quite high.

 

Best Regards,

John Di Saia MD

I would also recommend not re-piercing unless you are willing to accept a very high risk of a recurrent keloid scar.  The causes for keloid scars are likely genetic, so that it is not possible to take away the risk of recurrence.

I would not recommend re-piercing your ears if you are prone to keloids. It may happen again from the piercing.

The short answer is that yes, you can re-pierce the ear but the likelihood of recurrent keloid is quite high.  If you decide to take the risk, let your plastic surgeon that removed the keloid know so it can be treated quickly should the keloid start to come back.