The earlobe is a unique area in that the keloid is also stimulated by an allergic response to the metal of the stud or sleeper of an earring.

The usual sleeper is made of non-medical steel covered with a thin plating of gold. This plating easily dissolves and exposing the steel which contains impurities such as nickel, which stimulate the keloid.

The earlobe keloids appear at the site of the piercing, both on the front and the back of the ear and eventually can replace the whole earlobe. This cause of keloids was discovered by Mr Bryan Mayou, the founder of the Cadogan Clinic, as a result of research done with the support of the Goldsmith’s Company. In the past the usual advice has been to not re-pierce the ears because the keloid would reform, but Bryan Mayou’s research showed that patients could go on to have ears re-pierced by avoiding these studs and also solid 14 carat gold, which also contains a lot of impurities.

Keloids are rare if 18 or 22 carat studs or sleepers are used to keep the piercing open. The other consequence of the research is that the treatment of these keloids is relatively straight forward in that the first line treatment is to simply remove the keloids and the old piercing track, allow healing and then re-pierce 6 weeks later. Without the allergy, the return of the keloid is unlikely. Elsewhere in the body the treatment of keloids by simple excision would lead to the recurrence of an even bigger keloid!

Now it is not essential to use 18 or 22 carat gold studs as of course other non-allergic materials would be adequate. These would include silver and plastic. The Cadogan Clinic treatment of keloids is actually less complicated than the usual recommendations and is more effective. It allows you to wear earrings again but these are going to be expensive.

What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

The next step is for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions.

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases, patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.

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