Pressure therapy is an integral part of keloid treatment. There are ce
rtain areas of the body which are prone to keloid formation but are no
t amenable to pressure therapy. The ear lobe is one such area. A simpl
e, self fabricated and inexpensive pressure clip has been used for app
lying postoperative pressure to the ear lobe. This is fabricated with
cold-cure poly methyl methacrylate and orthodontic wire. This has been
used in 41 ear lobe keloids in 26 patients along with postexcisional
triamcinolone acetonide therapy, 5 ear lobe reconstructions and 2 case
s of ear lobe clefts over a period of 8 years. Although these clips ar
e not very aesthetic, still the acceptability is very high as the pati
ents were well motivated. A total of 27 ear lobes in 18 patients of ea
r lobe keloids have undergone ear boring after 6-18 months of pressure
therapy. The only complication noticed is in the form of pressure ulc
er due to continuous pressure in two patients at the beginning of our
experience with these clips. These healed well after temporarily stopp
ing the use of the clip.