How it works
Everything starts with a consultation. Your surgeon will listen to what you want, examine the earlobe in person, look at how far the hole has stretched or torn and where it sits, and assess the thickness and shape of the lobe. Together you will discuss whether to make the old hole smaller or close it fully and re-pierce later, and where a new piercing should sit once everything has healed so it looks even.
This procedure is usually done under local anaesthetic, which means your surgeon numbs only the earlobe with anaesthetic medicine while you stay awake and feel no pain during the work. You may feel pressure or a gentle pulling, but not pain. The specific type of anaesthetic is your surgeon's decision, based on your case.
Once the earlobe is numb, your surgeon removes the skin lining the inside of the old hole — that lining is the reason the hole cannot close on its own. With two fresh wound edges, your surgeon stitches them together in layers using very fine sutures, arranging things so the lower border of the lobe is as smooth and even as possible. The exact stitching technique is chosen to suit the shape of your hole and the thickness of your lobe.
This is a small procedure and usually fairly quick; the time it takes varies from case to case, especially when both ears need correcting. Your surgeon will place a light dressing over the stitches and show you how to keep the wound clean and dry in the first few days.