The Ear lobe is one of the most importance structure in our Indian population especially in females due to the practise of wearing ear rings of different shapes and sizes.
Ear lobe is the only part of the ear which is devoid of cartilage and consists of only skin and fat making it more fragile as compared to other parts of the ear. The ear lobe consists of skin and fat. Most females seek improvement of this area as this gets split and over period of time the hole becomes much bigger and the ear rings start falling out, that is the time females seek surgical correction for the same. Earlobe defects are mainly two types- partial and full defect. There repair is called Lobuloplasty.
Partial defects are the most frequent presentations which we encounter in our clinical practise. Patients usually come with a complaint that the hole has increased in size from before and the ear rings tends to slip every time they wear it. Surgical correction of the same is very simple. It is done under local anaesthesia and there is no pain experienced during the procedure. The ear lobe defect is closed in 2 layers both front and back to give a robust closure. The new piercing is done at the end of 1 month as tissues take time to heal internally.
Full defects are not very common and usually due to sudden pull by a small child or a chain snatcher which splits the ear lobe into two parts also called as Bifid deformity. The correction of this deformity is challenging as it is almost impossible to replicate the natural curve of the lower part of the ear lobe. Full defects usually start by matching the lower curve points and matching them carefully and suturing them together to replicate the curve. Then the procedure proceeds in the same manner as above and closure is done in 2 layers.
In the immediate postoperative period sterile tapes are applied and patient is sent home with medications including pain killers and anti-inflammatory medicines. Sutures are removed in 10-12 days and a ear piercing (new hole) is created after 1 month so that the repaired tissues have regained enough strength. All these things are discussed by Dr Sukhbir Singh during the preoperative consult so that any doubts about the procedure or postoperative course are discussed and cleared right away.
The most common indications are split earlobes and enlarged piercing holes either due to trauma or due to prolonged use of heavy earrings or just aging.
When u come for the procedure we recommend that u should have had a light meal before the same. We give a test dose of the local anaesthesia and once any reactions are ruled out we numb the area to be operated after cleaning with betadine. Thereafter sterile draping’s are done and entire procedure is done under LA and takes about 30-45 minutes for each side to be completed. Each side is stitched in 2 layers and we put very fine monofilament sutures which need to be removed in 7-10 days’ time. A tiny dressing is done and u can go to your office or outside immediately after the same. It is a safe and effective procedure.
Yes, we have a nonsurgical option too of using tissue glue which sticks the 2 split parts but we don’t advise for the same as it has very high recurrence rate to the tune of 50-70 percent.
We advise the clients to get Ear re-piercing done only after 3-4 weeks of the procedure so that the skin gains some strength in the meantime as there is no cartilage support in the ear lobe region.
U will be advised some antibiotics and pain killers when u leave the clinic. That will speed up the recovery and prevent u from having any discomfort. U are advised not to do any heavy exercises over the next few days about 7-10 days till your stitches are out. U can start taking bath within 48 hours of the procedure without too much rubbing of the area. If u are a smoker, please stop it till the sutures are removed and the scar heals well.
Every procedure carries some type of risk. However, earlobe repairs are a very safe operation. The most common complications include issues related to healing such as poor scar, infection though rare, hypertrophic scar or keloid in those individuals who have a tendency for the same.
R-9 , Basement, Greater Kailash Part 1,
New Delhi -110048.
Phone : +91 99103 91229
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