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Earlobe Repairs —Life-Changing Details

Building Bridges in Latvia: Diplomacy, Business, and the Future of Film

By Dr. Juris Bunkis
Honorary Consul, Republic of Latvia in Southern California
Orange County Plastic Surgery, Corona del Mar/Newport Beach

This past week, Dr. Deborah Ekstrom and I had the privilege of representing Southern California—and the United States—in Riga, Latvia, at the International Meeting of the Honorary Consuls of Latvia. Approximately one hundred Honorary Consuls from forty-four countries gathered to discuss ways to strengthen Latvia’s relationships around the world through trade, investment, tourism, education, and cultural exchange.

As Honorary Consul for the Republic of Latvia, I always look forward to these meetings, but this year’s conference was especially meaningful because Dr. Ekstrom yet again accompanied me throughout the week. Her extensive experience in business, entrepreneurship, and international networking proved invaluable, and I was delighted to see how warmly her ideas and insights were received.

One of our primary interests during the visit was exploring opportunities to promote Latvia as a destination for American film production. Prior to the official meetings, the Latvia Investment and Development Agency (LIAA), which administers Latvia’s attractive film incentive and rebate programs, arranged exceptional private tours for the two of us. We visited the historic Riga Film Studio, the country’s largest sound stage complex, and Cinevilla Studios, one of Northern Europe’s largest outdoor backlots. We also toured a number of fascinating filming locations throughout Latvia. The country offers an incredible diversity of architecture and landscapes, all within relatively short travel distances, making it an exciting and cost-effective option for filmmakers.

The conference itself included memorable events ranging from a reception hosted by the President of Latvia at historic Riga Castle to presentations by Foreign Minister Baiba Braže, Minister of Economics Viktors Valainis, Riga Mayor Viesturs Kleinbergs, and numerous government and business leaders.

One highlight was a two-and-a-half-hour business networking session. Each Honorary Consul remained at an assigned table while Latvian entrepreneurs rotated through fifteen-minute meetings seeking advice on expanding internationally. Since our focus was the United States, many discussions centered on entering the American market. This is where Dr. Ekstrom truly shined. Her years of business experience and hosting the Money Loves Women podcast enabled her to offer practical guidance to many aspiring entrepreneurs.

Our final day took us by motor coach—with an impressive police and security escort—to the beautiful port city of Liepāja. It was inspiring to see how this once-Soviet naval city has evolved into a vibrant modern community. Our meetings were held in the stunning Dzintars Concert Hall, itself a symbol of Latvia’s remarkable transformation.

On the way to the airport on Thursday, we stopped at a marvelous marketplace to say, “Until next time” and enjoy breakfast with Dr. Zanda Kalniņa-Lukasevica, the Parliament’s Deputy Speaker, and her foreign policy advisor, Kaspars Svilāns (who is leaving Riga today to join the Embassy staff in Washington DC and the Congressional Liaison).

After flying home, we were back in the operating room Friday morning for surgery at 7:00 a.m. We may not have had much time to recover from international travel, but we returned energized, grateful for new friendships, and already looking forward to our next visit to Latvia later this year—hopefully accompanied by Congressman Lou Correa.

Dr. Ekstrom and I with the Hon. Edgars Rinkēvičs, the President of Latvia, in Riga Castle.

Earlobe Repairs ---Life-Changing Details

By Dr. Deborah Ekstrom
Orange County Plastic Surgery, Corona del Mar/Newport Beach

Plastic Surgery Quiz: What Is the Most Common Reason Patients Seek Earlobe Repair?

A. Dog bites to the ear
B. Congenital birth defects
C. Gradual stretching of pierced earring holes from years of everyday wear and minor trauma
D. Sports injuries
E. Skin cancer removal

The correct answer is C.

Although facelifts and body contouring procedures often receive the spotlight, some of the most rewarding procedures we perform are much smaller. Earlobe repair is one of those operations that may take less than an hour in the office but can have a tremendous impact on a person’s confidence.

The most common problem we see is not a complete tear, but rather a gradual enlargement of the earring hole over many years. Everyday life places repeated stress on the earlobe. Sweaters pulled over the head can catch earrings, children often tug on earrings without realizing the damage they are causing, and even holding a phone tightly against the ear can repeatedly pull on an earring. Over time, these seemingly insignificant events stretch the piercing until it becomes elongated or partially torn.

Repairing these elongated or partially torn earlobes requires more than simply placing a stitch. The skin lining the stretched opening must first be carefully removed to create fresh healing surfaces. Only then can the edges be precisely reapproximated to restore the natural contour of the earlobe. While some surgeons choose to leave a small stud in place during repair, I generally recommend allowing the earlobe to heal completely before re-piercing, usually about three months later. This provides a stronger repair and reduces the chance of the earlobe stretching again.

A completely different level of complexity is involved when repairing gauge holes. Large gauges leave behind a very thin rim of stretched tissue surrounding the opening. In these cases, we cannot simply close the defect because there often isn’t enough healthy tissue remaining. Instead, the stretched rim must be carefully divided, excess skin removed, and the remaining tissue reshaped into a normal-appearing earlobe. Each repair must be customized to the patient’s anatomy.

Many patients seek gauge hole repair because their lives are changing. We’ve treated young men and women preparing to enter military service, where gauges are not permitted. Others are beginning careers in business or healthcare and simply feel that large gauges no longer reflect who they are today.

One of the most satisfying aspects of plastic surgery is helping patients move confidently into the next chapter of their lives. Earlobe repair may be a relatively small procedure, but for many patients, it represents a very meaningful fresh start.

Have questions about your earlobes?

Schedule online to set up an appointment with Dr. Ekstrom to explore your options.

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This female in her late 50’s had experienced a slow tear of her left earlobe, over the course of five years. She chose to have this repaired at Orange County Plastic Surgery in Corona del Mar/Newport Beach so she could again wear earrings.

This male in his early 30’s was “turning around” his life, now had a corporate job and wanted to get rid of this reminder of a wilder adolescent period. He is shown here before and 4 months after a gauge hole repair at Orange County Plastic Surgery in Corona del Mar/Newport Beach.

Orange County Plastic Surgery at CosmetiCare
1101 Bayside Drive, Suite 200
Corona del Mar, CA 92625


Take the elevator to the second floor (Suite 200) and check in with the front desk for your consultation or follow-up.
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If you want to see if you can have any part of your body improved, contact us for a consultation: