Earlobe Deformities, Tears, Gauges and Scars

Problems Due to Ear Piercings, Gauging and Other Body Art Require Meticulous Care

Earlobe Reconstruction Gauge

This young man had medium size earlobe gauging for many years until it literally ripped through leaving him with a large earlobe tear. In addition, a keloid scar nodule formed. In an office procedure, Dr. Fechner performed comprehensive earlobe reconstruction under local anesthesia. Two and a half months later the earlobe has healed well and normal shape is restored. The patient was satisfied with the outcome.

The question of timing of re-piercing is an important one. We recommend to wait a minimum of 3 months before placing new piercings.

“I strongly discourage our patients to place new gauges in the earlobe that experienced the tear”, says Dr. Fechner.

Acne Scaring Is Still Difficult to Treat

Written by Frank P. Fechner, MD

Resurfacing options like facial peels, dermabrasion or laser resurfacing may all improve the scars a little. Personally, I focus first on options that address the deeper aspect of acne scaring as it is the deep scar that is responsible for the common scar depressions. We like deep fractional CO2 lasers (i.e., Encore DeepFX) or percutaneous collagen induction therapy (CIT; a.k.a. medical needling). I consider resurfacing 2nd tier treatments for acne scaring after the deep treatments have been completed.

In general, it is important to understand that the improvements can only be moderate.