+   First Aid on Earlobe Tear-out   +
By Dr. Anonymous

Note- this page was sent to us, we can not verify how correct the information is, however it seems to make good sense. 

WARNING- 
If you have any clotting disorder, 
seek immediate medical attention!  

Partial Tear Out

This refers to a traumatic tear as compared to a sagging of the piercing which is quite benign.

Tears may tend to bleed profusely. Even so, do not touch the ear until you have cleaned your hands and are in a clean environment.  The bleeding will actually help wash out the wound. 

If the earring has remained in the ear, use cutting pliers or nail clippers to cut the earwire off of the earring, leaving about 1/8 inch on either side. DO NOT pull the earwire out of the ear as this may contaminate the wound. Next, swab the surface of the ear with alcohol cleaning as close to the wound as possible without letting it enter the wound. Wrap a gauze pad around the lobe and apply pressure. This should be forceful enough to stop the bleeding but you should not crush the ear. Keep pressure on for at least 5 minutes, or until bleeding stops.

If the bleeding does not slow down, seek medical help. You are best off at this stage dealing with your general practitioner rather then a hospital ER room, as most ER techs will attempt to stitch the lobe and may make correction later more difficult. 

Once the wound has stopped bleeding, inspect the damage. If the tear is minor, you may be ok. If you still have the piece of earwire in the ear, you may keep the piercing open with it.  Allow it to heal uncovered, but avoid anything that may contaminate the wound. Keep an eye on it for several days. If there are any signs of infection, see your doctor at once. 

If the damage is moderate to major, see your doctor. He will inspect the wound and may be able to recommend a good cosmetic surgeon.

If you decide to let it heal on it's own, and have not left the earwire in, wait at least a month before re-piercing. It is best to avoid the scar tissue when re-piercing. 

If you left the earwire in, treat it in the same way you would a new piercing.

Total Tear Out

This refers to a complete tear out where the earring has actually split open the bottom of the earlobe.

This type of tear will bleed profusely. Even so, do not touch the ear until you have cleaned your hands and are in a clean environment.  The bleeding will actually help wash out the wound. 

There are several larger capillaries in the earlobe, if they have been torn, a surprising amount of bleeding may occur. 

Wipe the wound in a downward motion with a clean, dry gauze pad, then try to align the edges at the base of the lobe. Wrap a gauze pad around the lobe and apply pressure. This should be forceful enough to stop the bleeding but you should not crush the ear. Keep pressure on for at least 5 minutes, or until bleeding stops.   

If the bleeding does not slow down, seek medical help. You are best off at this stage dealing with your general practitioner rather then a hospital ER room, as most ER techs will attempt to stitch the lobe and may make correction later more difficult. 

If possible, cut a small strip of adhesive tape, or a section of band-aid about 1/8 inch (3mm) wide, by about 3/4 inch (20mm) long. Align the bottom of the earlobe and run this strip carefully along the base of the lobe to help keep it aligned. These steps in the early hours of the event will help offset a lot of cosmetic work that may have to be done later. 

Loosely dress the lobe in a gauze pad and consult your general practitioner as soon as practical. Avoid having the lobe stitched unless it is done by a cosmetic surgeon. 

If you are the type that refuses medical treatment, keep an eye on the would looking for any signs of infection. Should you see any, SEEK MEDICAL HELP.

How will this turn out?  It depends on the person. Some ears heal quite well on their own, others develop keloids or scar tissue that must be corrected with surgery. Infection can really change the outcome from a cosmetic view. Although rare, Infection can even lead to blood poisoning, so have anything questionable checked out by a doctor. Remember, this is a deep wound. In the case of total tears, the lobe may heal into two sections, requiring surgery to correct. Usually, the first few days are very telling.