Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?

Post-excision of earlobe keloid?

Doctor: My brother has a keloid tendency.
Before the keloid developed, he had his ears pierced, but after the keloid formed, he developed keloids on his earlobes (in a ring shape).
He previously underwent surgery to remove the keloids, and since both sides had keloids, most of the earlobes were excised, leaving only small pieces of tissue to avoid suturing too close to the face.
My brother is dissatisfied with the asymmetry of his earlobes and would like to know if earlobes can be reconstructed.
Alternatively, can plastic surgery improve their appearance? If reconstruction is possible, what part of the tissue is typically used for the filling? Thank you!

Lin, 20~29 year old female. Ask Date: 2024/06/07

Dr. Zhou Hongzhang reply Plastic Surgery

Earlobe reconstruction is possible, but it is quite challenging.
For general keloids, they can be excised and then gradually treated with injections, which may improve their appearance over time.

Reply Date: 2024/06/07

More Info

Earlobe reconstruction can indeed improve asymmetry after keloid removal, especially in cases where significant tissue loss has occurred due to surgical intervention. Keloids are raised scars that can develop after injury or surgery, and they can lead to aesthetic concerns, particularly when they affect visible areas like the earlobes.
In your brother's case, after the removal of keloids from both earlobes, he is left with asymmetrical earlobes, which is a common concern among individuals who have undergone similar procedures. The good news is that reconstructive surgery can help restore the appearance of the earlobes and improve symmetry.

Surgical Options for Earlobe Reconstruction
1. Local Flap Reconstruction: This technique involves using nearby skin and tissue to reconstruct the earlobe. The surgeon will create a flap of skin from the surrounding area and reposition it to fill in the missing tissue. This method is beneficial because it utilizes the patient's own tissue, which can lead to better integration and healing.

2. Cartilage Grafting: In some cases, cartilage from the ear or another part of the body may be used to provide structure to the reconstructed earlobe. This is particularly useful if the earlobe has lost its shape or volume.

3. Fat Grafting: This technique involves harvesting fat from another area of the body (such as the abdomen or thighs) and injecting it into the earlobe to restore volume and improve symmetry. Fat grafting can provide a natural look and feel, although it may require multiple sessions to achieve the desired results.

4. Synthetic Fillers: For less invasive options, dermal fillers can be injected into the earlobe to improve its appearance. However, this is a temporary solution and may require repeat treatments.

Considerations for Surgery
- Consultation with a Specialist: It is crucial for your brother to consult with a board-certified plastic surgeon or an otolaryngologist who specializes in reconstructive surgery. They will evaluate the extent of tissue loss, discuss the best surgical options, and set realistic expectations regarding the outcomes.

- Healing and Recovery: Post-surgery, the earlobes will need time to heal. The surgeon will provide specific aftercare instructions to minimize the risk of complications, such as infection or the formation of new keloids.

- Keloid Prevention: Given your brother's predisposition to keloids, the surgeon may recommend preventive measures post-surgery, such as the use of silicone sheets, corticosteroid injections, or pressure therapy to minimize the risk of keloid recurrence.

Conclusion
In summary, earlobe reconstruction is a viable option for improving asymmetry after keloid removal. By consulting with a qualified surgeon, your brother can explore various reconstructive techniques that can restore the appearance of his earlobes and enhance his overall satisfaction with his appearance. It's essential to discuss all concerns and options during the consultation to ensure the best possible outcome.

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