Large earlobes can be caused by genetic conditions present at birth or through the normal aging process. Over time, gravity as well as wearing earrings can cause the earlobe to stretch and become enlarged. Earlobe reduction surgery is the only treatment. Your plastic surgeon will put you under local anesthesia for this procedure. While there are many variations of this procedure based on each individual’s ear shape, the most common involves an incision along the edge of the earlobe. The excess skin and tissue will be removed and the edge of the earlobe will be reattached.