I am really late in writing this review (like a year) so Dr. Lykins, please forgive me : )
I had 1-1/8" gauges and decided to get a real job so I needed to get them sewed up. Dr. Lykins was really friendly and confident and knew exactly what he was doing. It was not only painless, but he put on a cool "chill" playlist so we were listening to music and having a conversation the whole time. He even let me (don't get grossed out) film the procedure on my phone. So I got to see everything as it was happening. (maybe not your thing)
I found out that a friend of mine was a key note speaker at an ENT conference and I brought up Dr. Lykins to him to get an "inside perspective". He had nothing but great things to say about him. So there you have it from both the bottom and top of the "totem pole"
Now, a year later, I have had to show people pictures to prove to them that I used to have gauges because they don't believe me. If you are thinking about getting your ears sewn up, definitely see Dr. Lykins.
Enjoy : )