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 3-6 months to achieve reasonable strength. However, if the tear is due to heavy earring, it may recur if the same type of earring is used.
The wound would be covered after surgery and there is no major care required. Patients can washed their hair as usual. Sutures will have to be removed after 10-14 days and patients are encouraged to moisturize and massage the area.
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