The complications of ear-piercing include perichondritis of the pinna, a split earlobe, hypertrophic scarring and earlobe keloid. Earlobe keloids, like earlobe neoplasms, cause an obvious cosmetic problem and have a high recurrence rate after surgical excision. A 23-year-old female presented at our department with a lobular firm mass. The tumor had occurred seven years after ear-piercing and had continued to grow for six months. By the time of consultation, the tumor had reached 3.5cm×3cm×2.5cm in size. After a scheduled surgical excision, the pathology revealed an earlobe keloid. Such earlobe keloids are rare in Orientals and therefore we present here this rare case of earlobe keloid after ear-piercing.