The clinical experience is analyzed of the treatment of 16 patients (14 women and 2 men, aged 15 to 48 years) suffering from keloid formations in the earlobes. The author stresses the need to elucidate the pathogenesis of this condition and presents typical morphological characteristics of keloid scars. The paper also describes the clinical usefulness and methods of plastic operations for earlobe defects with restoration of their anatomic lines after the surgical removal of keloid scars. The atypical nature of the etiological factors is discussed.