Earlobe & Gauge repairs

Earlobe Repairs

Though seemingly simple, torn earlobes can be disfiguring and make a person very self-conscious.  We repair them with a stair-step design to avoid scar contracture or indentations.  This is done under local anesthesia in the office.  The sutures that are placed are all absorbable.  We allow the area to heal completely before re-piercing, usually about three months.  Then, if desired, we can re-pierce in a safer location that should be less likely to pull through again, as long as heavy earrings are avoided.  This piercing remains in place for about two months, as you turn it and keep it clean.

Split earlobe repair by Dr. Loomis shown immediately after, and four months after (not a guarantee of results).

Split earlobe repair by Dr. Loomis shown immediately after, and four months after (not a guarantee of results).

Gauge repairs

Gauge deformities are much more complex than the usual torn earlobes.  The earlobe has been reshaped through compression to literally have a hole in its center.  Each repair involves individualized flap design to recreate a more natural-appearing form to the ear.

All results shown are from Loomis Plastic Surgery, and not a guarantee of results; individual results vary.

What does it cost?

The following are estimates of costs:
$550 first earlobe,  $500 second.
Gauge repairs around $1,500 / ear.


Scar Revisions & Skin Excisions

Dr. Loomis offers scar revisions and skin excisions done under local anesthesia in the office.  We can often improve the appearance of a scar if it is widened or distorting normal anatomical landmarks.  When there is excess skin of the eyelid or neck, and the resultant scar is acceptable to the patient, it can be excised directly.   During a free consultation, Dr. Loomis will tell you whether or not he feels you are a good candidate for a skin excision or scar revision.

Neck z-plasty skin excision by Dr. Loomis (not a guarantee of results)

Neck z-plasty skin excision by Dr. Loomis (not a guarantee of results)

Direct skin excisions leave scars which you have to be okay with. (not a guarantee of results)

Direct skin excisions leave scars which you have to be okay with. (not a guarantee of results)

Upper eyelid skin excision by Dr. Loomis under local in the office (not a guarantee of results).

Upper eyelid skin excision by Dr. Loomis under local in the office (not a guarantee of results).

Excess eyelid skin trimmed in the office by Dr. Loomis (not a guarantee of results).

Excess eyelid skin trimmed in the office by Dr. Loomis (not a guarantee of results).

What does it cost?

The cost of a scar revision varies widely depending on the scar’s size and location.  A general ballpark estimate would be $750 - $2,500.

The cost of skin excision varies as well.  On the eyelids it is around $3,500, on the face or neck, around $5,500.  You can receive an individualized estimate during a free consultation with Dr. Loomis.  The removal of moles and other skin lesions is often covered by insurance, and since Dr. Loomis’s practice is now limited to cosmetic procedures, most patients generally look for a participating provider for these procedures.


Spider vein injections

If you don’t have any large varicose veins in your legs, and simply have the small spider veins, Dr. Loomis can inject these with Asclera®, a sclerosing agent which can help diminish their appearance.

spider veins leg

What to expect 

On the day of your injection, we recommend you bring shorts to wear.  You point out the areas that are the most bothersome to you, and we start there.  We inject a vial’s worth of Asclera®, which in some patients will be enough to treat all their spider veins, and in others, just enough for one or two areas.  The injections, which are done with a very fine needle in multiple areas throughout your legs, irritate the walls of the little veins, and they stick together, closing off the lumens.  On rare occasions, the veins are closed off completely.  More often, though, they are just made smaller, so their appearance is lighter.  

Typical lightening of spider veins following one session of injections by Dr. Loomis (not a guarantee of results)

Typical lightening of spider veins following one session of injections by Dr. Loomis (not a guarantee of results)

The veins often look darker before they get lighter, so we recommend you have the injections when you will not be wearing shorts or swim suits for at least a few months.  Patients may inject the same spider veins in a second session two to three months later.  Most patients will just do an yearly session to “beat back” their spider veins, like a fall clean-up in the yard.

What does it cost?

$500 per session