A Revised Classification and Treatment Algorithm for Acquired Split Earlobe, With a Description of the Composite Technique and its Outcome

A new classification for acquired split earlobes based on surgical implications is proposed here. Numerous techniques have been described and the choice of the surgery is a difficult one so a simplified approach to the choice of the repair method is provided. Any surgical repair, to stand the test of time must be simpler to perform and should serve the purpose of aesthetics as well as function. The composite method of earlobe repair described here incorporates an upper triangular flap preserving the perforation; the undermining of cleft margins to prevent suture line grooving, and a lower L-plasty to prevent inferior notching. This technique is easy to understand and perform, and avoids a second appointment and visit for ear piercing.