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08.03.2014
Gauge earrings have become increasingly popular in the last several years with more and more people undergoing this type of ear piercing.
Regardless of the size of the hole, the commonality with all gauged earring defects is the fact there is a void in actual soft tissue volume.
Consequently, a reliable method of repair has to be carefully planned and executed by someone who is experienced in managing this type of cosmetic ear abnormality so the hole can be completely closed with new tissue.
As you can now appreciate, repairing a gauge earring defect essentially involves creating new layers of tissue out of thin air. In most cases, all three layers of tissue can be recruited from the surrounding areas, which include other regions of the external ear.
Repair of a gauge earring hole is most commonly performed under local anesthesia – meaning, patients are fully awake. My office usually reserves an hour or two to perform the earlobe surgery, depending on whether or not one or both ears are being reshaped and how complex the repair process is for that particular patient. As long as no sedative medication was taken for the procedure, patients can drive themselves home in most cases. The adjacent photo shows you what our typical patient looks like at 5-6 days out from this type of gauge earring repair. We have a fairly extensive gallery of examples of gauged earring repair that can be found in our otoplasty gallery as well as our earlobe repair gallery.
The following are a subset of patient examples showing what many patients can expect following this type of earlobe plastic surgery. If you are interested in learning more details about repairing a gauged earlobe, do not hesitate in contacting our office today where we have highly specialized training and experience in managing this niche type of ear plastic surgery.
When a person suffers through a night without sleep, they get out of the bed the next day feeling weary and donning bags underneath their eyes. The transconjunctival blepharoplasty is a unique approach to the traditional blepharoplasty procedure.
The transconjunctival blepharoplasty is designed specifically for patients who have excess fat underneath their eyes. In order to complete the procedure and provide patients with the most comprehensive results, Dr. Unfortunately, like many fads, people tend to outgrow this phase of their life and elect to have the gauge earring defect surgically repaired, or closed.
Meaning, some holes from gauge earring use are relatively small given the fact some patients do not attempt to go up in size over time. The reason you cannot do this is because simply trying to close the hole on itself will result in a very abnormal looking earlobe contour.


In fact, you need to replace three separate layers of soft tissue in order to properly close this type of defect – this includes (1) the skin covering the outer surface of the earlobe, (2) the middle layer of soft tissue that gives the earlobe shape and form, and (3) the skin covering the backside of the earlobe. In plastic surgery jargon, this is referred to as a local flap reconstruction where tissue is taken (borrowed) from one area to be used in the immediate adjacent area to repair a defect, or hole. In the meantime, patients are responsible for keeping the sutures clean while taking care of the surgical repair site.
This particular patient from San Diego decided to get rid of her gauge piercings, but required reshaping of the earlobes to make the ear look more normal.
However, some Orange County patients find that these bags are a permanent fixture on their face as they continue to age. This fat develops throughout time, and can make a person appear older than they really are. Kevin Sadati typically uses the fractional c02 laser in order to resurface the skin on the lower eyelid. This particular page was developed to help those prospective patients better understand what is involved with repair of a gauge earring defect.
In others, an increasingly large gauge is placed into the ear, thus creating a significantly larger hole in some cases.
Unlike a torn earlobe where the tissue is still there and simply needs to be reconnected, repair of a gauge earring defect means new tissue has to be brought in to close the hole. This is shown in the adjacent photo diagram that demonstrates visually what would happen to the earlobe if this was attempted. When it comes to repairing a gauge earring defect, this typically involves taking tissue from the area just behind the hole (away from the face) or from the remaining earlobe skin. This is represented in the adjacent photo diagram by the red oval that depicts how the skin lining the gauge hole is cut out.
In a majority of these cases, going asleep under a general anesthetic is just not necessary. The earlobe does appear slightly swollen as would be expected following a surgical procedure, but is not grossly distorted as you can see. Stress, hard work and sun damage all contribute to the formation of permanent bags under the eyes, but Newport Beach patients should understand that they do not have to settle for that. Kevin Sadati will work from inside the eyelid in order to remove excess fat and eliminate puffy bags underneath the eyes. This eliminates the appearance of lines and wrinkles in the area and provides patients with the age-defying results they want. If you find yourself in this situation or you just want to refresh your look, set up a free cosmetic consultation with Dr.


The various grades of gauge earring holes is demonstrated visually below ranging from small to medium to large. My personal preference is to avoid using the remaining earlobe skin if at all possible so that I can minimize further distortion of the already abnormal earlobe contour and shape. Even at 5-6 days out from surgery, you can already see the obvious improvement in terms of the earlobe contour and shape – with complete closure of the hole. We provide this photo example to show gauge earring repair patients what the surgical site looks like at one week out. If you have these bags underneath your eyes, or have excess puffiness that you want to address, this might be the right procedure for you.
As you will note in the adjacent photo diagram, a torn earlobe can occur without loss of soft tissue. On the right is a computer modified version of the same photo representing how the earlobe would appear if repaired in this manner. Although you will see signs of where the incisions were made to reshape the earlobe, she looks quite presentable in general. Kevin Sadati is a board certified facial plastic surgeon who is highly-skilled at the blepharoplasty procedure. In this particular instance, the tear can be repaired by using the skin that is already present. If you try to close the hole by just bringing the skin together (along the vertical or long axis of the defect) as shown by the arrows, the earlobe will begin to look distorted and overly narrow with loss of the normal rounded border.
As time continues, the incisions will slowly fade away to reveal very little sign that we had repaired the ear.
Commonly known as the eyelid lift, the blepharoplasty is the cosmetic surgery that is designed to rejuvenate a person’s appearance and eliminate bags under the eyes. In contrast, a gauge earring leaves an actual hole ┬áin the soft tissue of the earlobe creating an obvious void. No suturing is used in this operation, ensuring that there is no visible scarring after the fact.
In this latter instance, you need to be creative in how you go about closing this type of defect.



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