Split ear lobe can be complete or simply an enlarged ear-piercing. This is usually caused by heaviness of the earring or accident. Superficial skin will grow over and prevent closure. Repair of split ear lobe requires a minor operation. The surgery is carried out under local anaesthetic and the repair is carried out after the skin is excised. The repair involved placing a 'Z plasty' along the repair to prevent scar contracture and notching.
It is advisable not to re-pierce at the same spot or wait at least 6 weeks. There is no problem with piercing on either side of the scar. This is because scar will always be weaker than normal skin and will require at least 6 weeks to achieve reasonable strength. However, if the tear is due to heavy earring, it may recur if the same type of earring is used.