The absence of earlobes is very rare in clinical practice. What people call the absence of an earlobe is that the earlobe is relatively small. However, there is still skin tissue involved at the lower end of the ear, and it is possible to consider getting a piercing in this location. Nowadays, it is very common to have ear piercings in the ear, including cartilage, and it is not necessary to pierce the earlobe. However, it is recommended to follow aseptic operation when piercing, and to find a professional teacher to pierce the ears, not to go to an outside barbershop beauty store. This is because an infection in the ear piercing will, for one, heal poorly and, for another, cause scarring very easily. If their proliferative scars are more pronounced, they can also lead to keloid scars.