There are several conditions that can leave the ear lobe in need of repair.
Today, the popular trend of gauges placed in the ear lobe to stretch it are leaving people with significant holes in their soft tissue. Despite removing the gauges and the soft tissue shrinking a bit, there still remains a large, unsightly hole.
Other ear lobe conditions can be caused by sudden trauma, such as earrings getting caught and then pulled forcefully (typically, long earrings snagging a dress or other clothing), or children pulling on earrings. Multiple earrings too close together or too close to the bottom of the lobe can also call for repair. Although not caused by trauma, abnormally shaped ear lobes can also be repaired.