The fissure of the lobe – is partial (when the hole stretches) or complete (when the tear reaches the edge) – is a frequent problem in those who wear earrings. Research suggests that between 1% and 2% of users have some degree of stretching or rupture, usually due to Heavy earrings, trauma, skin aging or use of widers.
Main indications for surgery
- Complete slit caused by traction or accident
- Elongated hole that leaves the lobe thin and deformed
- SEQUELAS OF THE EXTENDED USE OF ROUNDS (“GAUGED LOBES)
- Aesthetic repair for those who want to wear earrings with comfort
How is the lobuloplasty
The repair, known as lobuloplasty, is made under location, in an office or outpatient center. The surgery time ranges from 20 to 60 minutes, according to the severity of the lesion. The surgeon removes healing edges (“Refresh”), adjusts the shape and closes the defect with delicate points.
Different techniques can be used: simple closure, z-plasty to prevent carvings, l-plasty or flaps in cases of fabric loss, especially in wide wolves by extensor piercings.
Results and Recovery
Surgery returns the contour and symmetry to the lobe, with a generally discreet scar. Most patients resume light activities on the same day, as long as they avoid traces or trauma on site. The maturation of the scar occurs in a few weeks, and drilling for a new earring is usually released after 8 to 12 weeks, depending on the thickness and quality of the lobe.
Possible Risks and Complications
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Thicker or irregular scar, carvings and small asymmetries
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Opening of points (dehiscence), in case of early traction or infection
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Recurrence of stretching, if heavy earrings are used before complete healing
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Hypertrophic keloids or scars, reported in up to 2.5% of earrough perforations, especially in predisposed people or after puberty
Extended lobes: special approach
In cases of defects caused by widenrs, the goal is to preserve the maximum tissue to avoid flattening the lobe. Techniques that use flap and rolling flap have good results, helping to restore the volume and outline of the region.
Fundamental care to prevent problems
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Clinical evaluation and alignment of expectations before surgery
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Drawing planning, respecting the natural lines of the lobe
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Guidance on the importance of avoiding weight and traction until the scar stabilizes
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Adoption of preventive measures in patients tend to cheloid (such as silicone ribbons or local corticotherapy when indicated)
The correction of the cleared lobe is a small but large and functional intervention. Mastering basic surgical techniques and providing accurate patient care and deadlines are essential for consistent and safe results.
*Text written by CIRURGIÃO GENERAL PATRIO MORISSON (CRM/RJ 52.83566-8 | RQE 40.203)membro da Brazil Health
