Is it possible to close very small piercing holes?

Question

I have 3 standard piercing holes (18-20g) in each ear lobe. I've had them for several years. Two sets were done with a piercing gun and one set with a needle. They are crooked/uneven and too close together. I'd like to have them closed and eventually re-pierced. Would the scar from something like that be more noticeable than the old holes? Would it be worth the cost? Thanks!

Leila Kasrai, MD, FRCSC · Answer

It is possible to close small piercing holes, however an in-person examination would be recommended to make sure that you’ll be able to achieve your goals. The procedure is typically done under local anesthesia. The resulting scar tends to be barely visible, although this depends on your recovery and if you have a history of irregular scarring.

Ryan Rebowe, MD · Answer

More or less you would be talking about taking three smaller holes and making them one larger hole. This would likely leave a larger scar than you currently have. However, it is possible to re-pierce the ears after this repair. The cost is unlikely to be excessive and should be less than $1000/ear depending on your area of the country.

Hooman Khorasani, MD · Answer

Closing standard earlobe piercing holes (18-20g) and then eventually re-piercing them is a common procedure, and the scars left from the closure should not be more noticeable than the original piercing holes. Plastic surgeons and dermatologists often perform this type of procedure, which is known as "piercing hole closure" or "piercing hole revision."
The process generally involves carefully removing the existing piercing holes and suturing the incisions. The surgeon's goal is to create as inconspicuous scars as possible. In most cases, the resulting scars should blend in with the surrounding tissue and be less noticeable than the old, uneven, or too-close-together piercing holes.
The final appearance of the scars will depend on various factors, including your skin type, the surgeon's skill, and the aftercare you follow. In some instances, the scars may fade and become barely noticeable over time.

Raffy Karamanoukian, MD, FACS · Answer

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 multilayered 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.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Gary M. Horndeski, MD · Answer

The usual treatment is a wedge excision of the holes.  This takes about 30 minutes to perform under local anesthesia and costs $800.Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Cybersiren,
it is hard to tell for sure without an examination. Generally speaking, it is possible to close piercing holes under local anesthesia. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Michael I. Echavez, MD · Answer

Closing piercing holes on the earlobes is a very common procedure.  It is relatively simple procedure that can be done in the office.  I normally recommend waiting about 2 months after the holes are closed before I re-pierce them.

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

It is not only possible, but it is very common. The resulting scars tend to be very minor and most people are extremely pleased they were able to "start over" with less, or better cosmetic piercings.

Robert T. Buchanan, MD (retired) · Answer

The best way to revise these is to excise all 3 holes together and close the resultant larger area. I have done this multiple times and the scar has always been excellent. You will need to wait about 3 months after the repair to have the area repierced.

Is it possible to close very small piercing holes?

Answers (9)

More Earlobe Repair Questions

My earlobe got split and I want to ask if there is a possibility for it to close up

Earlobes naturally very big and circular, protrude to the sides, and are very thick. Best procedure? (photos)

How much will an earlobe reduction cost me in New Jersey?

How would you fix my pixie ear? Would a surgeon cut in the same incision or make two new ones either side? (photo)

1 week PO. Did my ear lobe repair go wrong? Will it look better in a month or always look like I have two ear lobes? (photos)

When can I get my ears pierced after otoplasty?

WE SEND PRETTY
EMAILS