“… [I] simply pierce the ear, let it heal and then slowly stretch up one gauge size every 2-3 months. This process is very slow moving and requires a lot of patience. My ear lobes were pierced at 18g and stretched to 1″ in diameter over a period of 5.5 years! But this is not the only way to have stretched earlobes.”
In fact, you can have you ear pierced starting at various gauges. Find out more about it [here].