Title : Ear lobe repair, now a lunch-break affair
Abstract:
Introduction: The earlobe is an anatomical structure of small dimensions without specific function, but with a significant aesthetic role. It is the most defining part of the structure of an ear. Age however alters the shape, width and length of the lobe due to sagging, can lead to ear lobe ptosis, deflation, vertical rhytides and earlobe tears. And thus in comparison to other aesthetic elements of the ear, it demands correction. Piercing of the earlobes has been performed in both sexes for thousands of years for social, religious and cosmetic purposes, in the most primitive as well as the most affluent culture. Prolonged traction due to heavy earrings, traumatic clefts, age related sagging, and many more such reasons warrant ear lobe repair. With an abundant blood supply and without cartilaginous tissue, the challenge underlying its reconstruction is related to the difficulty in obtaining a longstanding and aesthetically acceptable outcome. Also, most patients expect a expedient repair so that they can soon enough wear earrings.
Procedure: Hyaluronic Acid dermal fillers can be used to inject into the ear lobe defects for a quick correction. With the help of a 27-30g needle, under the effect of a local anaesthesia, by linear threading and serial puncturing technique, around 0.2-0.4ml of filler would suffice to correct the defects in one lobule. The procedure, in skilled hands does not last for more than a few minutes with the benefit of immediate results. The results can be precisely titrated by varying the volume and site of injection. it also gives the advantage of preserving the primary perforation without the need to go through a re-puncture at a different site.
Results: Immediate post procedure pictures in comparison to pre procedure pictures, show a drastic improvement with filling of the defect effectively.
Conclusion: Being minimally invasive with a zero downtime, and comparable results to an invasive corrective surgery, this surely is a worthy option for treatment.