Multiple clefts of an earlobe are a unique problem that may well rise in incidence as a consequence of the changing tides of fashion, since currently adornment with multiple pierced earrings in both sexes has become prevalent. Depending on the location and number of clefts, immediate or sequential correction must preserve a maximum of tissue to prevent a diminutive or asymmetrical lobule. Although many alternatives used to repair the more common solitary cleft are quite acceptable, a variation of the ‘tongue and groove’ flap technique predictably recreates an earlobe with the desired normal appearance and contour.
