Split Earlobe, Stretched Earlobe and Earlobe Reduction in Birmingham

Repair split, stretched or enlarged earlobes and restore a more natural earlobe shape

The exact procedure and achievable result depend on an assessment of your earlobe anatomy, existing scarring and what you would like to achieve.

Quick Facts about Earlobe Surgery

  • Item icon for Flower

    Best for

    Split, stretched or enlarged earlobes

  • Item icon for Doctor

    Treatment

    Surgical repair or reduction

  • Item icon for Injection

    Anaesthetic

    Local anaesthetic

  • Item icon for Timer

    Duration

    30–60 minutes per side

  • Item icon for Cycle

    Recovery

    Light activity from next day

  • Item icon for Money

    Price

    See below

Earlobe repair and reduction

A split, stretched or enlarged earlobe can affect its appearance, make earrings difficult to wear and leave you unsure whether the shape can be restored. At Midland Skin, we offer surgery to repair split or stretched earlobes and reduce enlarged or elongated earlobes.

The aim is to restore a more natural, balanced contour while taking account of your existing anatomy, scarring and what you would like to achieve. The exact procedure is planned after assessment rather than using the same repair for every earlobe.

Who is earlobe surgery suitable for?

Specialist assessment may be worthwhile if you have:

  • a partially or completely split earlobe
  • an earring hole that has progressively stretched or is close to splitting
  • an enlarged hole following gauges, tunnels or plugs
  • an earlobe that has remained stretched after body jewellery has been removed
  • scarring or deformity following previous trauma or earlobe surgery
  • naturally large or pendulous earlobes
  • earlobes that have become longer with age

If you are unsure which type of earlobe surgery you need, this is determined at your initial consultation after examining the shape of the lobe, remaining tissue and any previous scar.

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Earlobe surgery at Midland Skin

Split earlobe repair

A split may be partial, where some of the earlobe remains connected, or complete, where the split extends through the lower edge of the lobe.

During repair, the healed or scarred edges of the split are carefully removed and the earlobe is reconstructed with fine stitches. The aim is to recreate a smooth contour while keeping the resulting scar as inconspicuous as reasonably possible.

Stretched earlobe repair

Earlobes stretched by gauges, tunnels or plugs do not always return to their original shape once the jewellery is removed, particularly after larger or longstanding stretching.

Surgery can remove stretched or excess tissue and reconstruct the remaining tissue to create a smaller, more natural earlobe contour. The technique required depends on the size and shape of the stretched lobe and the amount of healthy tissue available.

Future piercing may be possible after the repair has fully healed.

Earlobe reduction

Earlobe reduction is used where the earlobes are naturally large, pendulous or have elongated with age.

Excess tissue is removed and the remaining earlobe reshaped to create a smaller and more proportionate contour. Treatment can involve one or both ears and may sometimes be combined with repair of a split or stretched earlobe.

Treatment Pathway for Earlobe Surgery

Step1

Initial assessment

Your earlobes are assessed and you can discuss what concerns you about their shape, size or appearance and what you would like surgery to achieve.

Step2

Care plan

Your clinician determines whether surgery is appropriate and which type of repair or reduction best suits your anatomy. The likely scar, expected result, recovery, risks and any plans for future piercing are discussed before treatment is arranged.

Step3

Earlobe Surgery

The procedure is carried out under local anaesthetic while you are awake. Depending on the repair required, scarred or stretched tissue is removed, the earlobe is reshaped and the wound is carefully closed with fine stitches. Stitches are removed after 5-14 days.

Step4

Review consultaton

Further follow-up is arranged to assess healing, the scar and the final contour of the earlobe.

Scarring, results and limitations

The aim of earlobe surgery is to improve the shape and contour of the earlobe, but all surgical repair leaves a scar.

The scar is usually most noticeable during the early healing period and then continues to mature over the following months. Its final appearance varies between individuals and cannot be guaranteed.

Possible risks include bleeding, infection, delayed healing, asymmetry, altered sensation, a widened or thickened scar, contour irregularity or notching, and recurrence of stretching or splitting. Occasionally further treatment or revision may be required.

For stretched earlobes in particular, the operation has to work with the amount and quality of tissue that remains, so it may not be possible to recreate exactly the appearance of an earlobe that has never been stretched.

Recovery after earlobe surgery

  • Most people can resume non-strenuous day-to-day activities from the following day
  • Mild swelling or bruising can occur and usually settles over the first few days
  • Stitches are usually removed after 5–14 days
  • Avoid pressure on the operated earlobe, including sleeping directly on it, during the early healing period
  • Earrings should not be worn for at least 3 months
  • Where appropriate, re-piercing can usually be considered after at least 4 months

If you plan to have the ear re-pierced, the position of the new piercing should be discussed with your clinician and should not normally pass directly through the surgical scar.

Book in with us

Ready to get started? Book a consultation with our team at Midland Skin. Friendly, expert advice tailored to you.

Earlobe surgery: practical FAQs

  • Who will perform my procedure?

    Your surgery will be performed by an appropriately trained Consultant. Who will be carrying out your procedure will be confirmed as part of your treatment plan before surgery.

  • Will earlobe surgery hurt?

    Local anaesthetic is injected into the earlobe before surgery. The injections can sting briefly, but once the area is numb you should not feel pain during the procedure, although you may still be aware of touch or movement.

  • What happens on the day of surgery?

    The planned repair is checked with you before treatment begins. The earlobe is marked and cleaned and local anaesthetic is given. Depending on the procedure, scarred or excess tissue is removed and the earlobe is carefully reshaped before being closed with fine stitches. You can go home after the procedure.

  • Will I have a dressing?

    A small dressing may be applied depending on the procedure performed. You will be given instructions about caring for the wound and keeping the area protected while it heals.

  • When do my stitches come out?

    Stitches are usually removed after 5–14 days. Your stitch removal appointment will be organised when you attend for your procedure.

  • When can I wear earrings again?

    Earrings should not be worn for at least 3 months after surgery. Where the earlobe has healed appropriately, re-piercing can usually be considered after at least 4 months. The new piercing should generally be positioned away from the surgical scar and heavy earrings should be avoided to reduce the risk of further stretching.

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Ashley Cooper

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Fees for ear lobe repair surgery

Ear lobe repair surgery Show pricing

Book Consultation

Initial surgical assessment

£235

Split earlobe repair

Per side

From £495

References used for this article

  1. Nassour N, Watfa W. Outcomes and complications of traumatic ear lobe repair techniques: A systematic review. Journal of Cosmetic Dermatology. 2022;21(3):910–923.
  2. Grohmann M, Weiland T, Tuca AC, Wimbauer JM. Earlobe Correction of the Pierced Ear: A Systematic Review of the Literature and Principles for Surgical Reconstruction. Facial Plastic Surgery & Aesthetic Medicine. 2023;25(2):83–89.
  3. Scott BL, Anderson Y, Loyo M, Kim MM. Repair of Gauged Earlobes: Case Series and Review of Two Techniques According to Size. Journal of Cutaneous and Aesthetic Surgery. 2021;14(3):351–356.

About the Author

This page has been written and/or medically reviewed by Dr Sajjad Rajpar, Consultant Dermatologist and Medical Director of Midland Skin, Birmingham.

Dr Rajpar is on the GMC Specialist Register in Dermatology and has over 20 years’ experience in clinical dermatology. He provides clinical oversight to ensure the information on this page is accurate, balanced and consistent with current dermatology practice.

Dr Sajjad Rajpar

Date last updated: 25th Aug 2026

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