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A surgeon's hands, a woman's touch. Beautiful Results A surgeon's hands, a woman's touch. Beautiful Results

Marisa Lawrence M.D., F.A.C.S.

Earlobe Repair Atlanta

Overtime, wearing earrings may cause undesirable changes in the appearance of your ears.  The piercing site and the earlobe itself may elongate. The earlobes may tear or split from even the slightest pull on the earrings, leaving a conspicuous and unsightly appearance. In certain skin types, the earlobes may form keloids (benign but thickened scars), which may be disfiguring and prevent the use of earrings. With earlobe repair, undesirable changes in the earlobe may be corrected to improve appearance, remove keloids, or allow continued use of earrings.

Earlobe repair is a procedure that is performed in the office under local anesthesia.
For a torn or stretched earlobe:

  • The skin inside the tear is meticulously removed and a three-layered skin closure is performed. The three layered closure involves stitching the skin on the back of the earlobe, the subcutaneous tissue in the middle of the earlobe, and the skin on top of the earlobe. This complex closure prevents the formation of cysts and provide for the best cosmetic result.  Dr. Lawrence uses meticulous technique to ensure that the curve at the bottom of the earlobe is maintained. Sometimes a special procedure called a “z-plasty” may be needed.
  • Dr. Lawrence also injects fillers such as Juvederm into earlobes with piercings that have stretched but that have not torn all the way through. By plumping up the earlobe, the ear pierce opening is narrowed. At the same time, injectable fillers can transform a thin, aged earlobe into a rejuvenated, more youthful earlobe.

For a keloid:

  • Dr. Lawrence removes the keloid surgically, followed by steroid injections into the area to prevent keloid regrowth.

There may be slight swelling after earlobe repair. Dissolvable stitches are used, whenever needed. You will be asked to apply antibiotic ointment on the incision for a week and will need to wait approximately 3-6 months before re-piercing your earlobes. Through experience, Dr. Lawrence recommends that new ear piercing sites be placed at a slightly different location, as the scar is weaker than the surrounding skin and may tear more easily.

With keloid removal, you will need to have steroid injections into the earlobe every few weeks for 1-2 months. Dr. Lawrence may also recommend that you wear special silicone pressure earrings to prevent regrowth of the keloid.


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