Gauged earlobe stretching is the gradual expansion of a simple ear piercing in order to fit in larger and larger size plugs.
The excessive stretching of earlobes by expanders known as gauges causes severe thinning and distortion of the earlobe tissues.
The more severe the distortion the more difficult it is to repair the gauged ear lobe simply because in severely damaged earlobe cases there just is not enough healthy tissue left to reconstruct the earlobe into a normal or near normal shape.
The plastic surgeon can not study a book or an article to learn the technique. He has to rely on his plastic surgery knowledge and experience. Extensive experience in repairing traumatic ear injuries and some artistry of course helps.
Dr. Wali is an expert at earlobe hole repair and plug gauge earlobe hole repair. He has performed many procedures to recreate a normal looking earlobe which has been stretched out by large plug or gauge ear rings.