Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
Call emergency services if ear or facial swelling occurs with trouble breathing, throat tightness, faintness, or swelling of the tongue or lips.
These may be signs of a severe allergic reaction.
An earlobe crease alone is not a heart emergency.
However, seek emergency help for chest pressure or pain, especially with shortness of breath, sweating, nausea, faintness, or pain spreading to the arm, back, neck, or jaw.
A painless crease that has been present for a long time usually does not need urgent care.
Seek same-day medical care for rapidly spreading redness, increasing warmth or pain, pus, fever, or swelling around a piercing.
These can occur with an infection.
Cartilage infection higher on the outer ear can be more serious than an infection limited to the soft lobe.
You can mention it during a routine appointment if it is new, changing, or causing concern.
Arrange a routine appointment if the earlobe:
Every sign above is quoted from the sofidex article on Earlobe creases. If you are not sure, err upward — it is always reasonable to be checked.