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It is possible to reconstructing the ear lobe following trauma even with the loss of soft tissue. The key for the best result is to see board certified plastic surgeon. See below link for suggestions:
Yes this can be effectively reconstructed. I would agree with the use of a local flap of skin probably taken from behind your ear and temporarily left attached with a pedicle. The flap would develop a new blood supply from its attachment to your ear and when it was ready it could be detached from its source and "inset" to complete the process. This is an old-fashioned plastic surgical technique that can be done by most plastic surgeons with local anesthetic. It does take several stages as noted elsewhere.
An amputated earlobe can be reconstructed using flaps from the ear. This will allow for repair of the earlobe to recreate a normal appearing earlobe. Raffy Karamanoukian MD FACS
In most cases, an earlobe can be recreated by borrowing skin from behind the ear. This is often a staged procedure that can take several weeks to months to be completed. What is most important now is to take good care of this wound to allow it to heal optimally. Consult with several plastic surgeons about your options. Most will recommend waiting at least a few months to heal before beginning reconstruction. Good luck!Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Yes. There are many of us that enjoy doing local flaps in the area to recreate the volume of an earlobe. Occasionally it will take a revision procedure as well to really fine tune the result.
A flap of skin from behind the ear, called a retroauricular flap, can be raised and sewn into the missing tissue area. Once a new blood supply is formed from the ear to the flap, the base of the flap can be divided at a second surgery and the tissue shaped like an ear lobe. Time between flap elevation and inset is about 3 weeks and both procedures can be done as an outpatient - even under local anesthetic, if you are brave.
After repair I say no sooner than 6 weeks at a minimum but I actually recommend waiting several months if possible as the scar will be more mature. Best wishes.Garrett A. Wirth, MD, MS, FACSWirth Plastic Surgery
After repair, your ear lobe will change shape during the healing process. It is possible for it to develop a pointy appearance, but you must first ensure that the majority of healing is completed. I generally would not consider a revision until six months after surgery and after extensive scar...
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...