Prominent Ear Correction
Otoplasty — also known as cosmetic ear surgery — is a procedure to change the shape, position or size of the ears.
You might choose to have otoplasty if you're bothered by how far your ears stick out from your head. You might also consider otoplasty if your ear or ears are misshapen due to an injury or birth defect.
Otoplasty can be done at any age after the ears have reached their full size — usually after age 5 — through adulthood.
If a child is born with prominent ears and certain other ear-shape problems, splinting may successfully correct these issues if started immediately after birth.
Why it's done
You might consider otoplasty if:
- Your ear or ears stick out too far from your head
- Your ears are large in proportion to your head
- You're dissatisfied with a previous ear surgery
Otoplasty is typically done on both ears to optimize symmetry.
Otoplasty won't change the location of your ears or alter your ability to hear.
After your bandages are removed, you'll notice an immediate change in the appearance of your ears. These changes are permanent.
If you're not satisfied with your results, check with your surgeon about the possibility of revision surgery.
How you prepare
You'll talk to a plastic surgeon about otoplasty. During your first visit, your plastic surgeon will likely:
- Review your medical history. Be prepared to answer questions about current and past medical conditions, especially any ear infections. Your doctor may also ask about any medications you're taking or you've taken recently, as well as any surgeries you've had.
- Do a physical exam. To determine your treatment options, your doctor will examine your ears — including their placement, size, shape and symmetry. The doctor might also take pictures of your ears for your medical record.
- Discuss your expectations. Your doctor will likely ask why you want otoplasty and what results you're expecting after the procedure. Make sure you understand the risks of otoplasty, such as possible overcorrection.
If you're a good candidate for otoplasty, your doctor may recommend that you take some steps to prepare before your procedure.
Otoplasty, as with any other type of major surgery, has risks, including the risk of bleeding, infection and an adverse reaction to anesthesia.
Other risks associated with otoplasty include:
- Scarring. While scars are permanent, they'll likely be hidden behind your ears or within the creases of your ears.
- Asymmetry in ear placement. This could occur as a result of changes during the healing process. Also, surgery might not successfully correct preexisting asymmetry.
- Changes in skin sensation. During otoplasty, the repositioning of your ears can temporarily affect skin sensation in the area. Rarely, changes are permanent.
- Allergic reaction. It's possible to have an allergic reaction to the surgical tape or other materials used during or after the procedure.
- Problems with stitches. Stitches used to secure the ear's new shape might work their way to the surface of the skin and need to be removed. This can cause inflammation of the affected skin. As a result, you might need additional surgery.
- Overcorrection. Otoplasty can create unnatural contours that make ears appear to be pinned back.
During the surgery
Otoplasty techniques vary based on what kind of correction is needed. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars.
Your doctor might make incisions:
- On the backs of your ears
- Within the inner creases of your ears
After making incisions, your doctor might remove excess cartilage and skin. He or she will then fold the cartilage into the proper position and secure it with internal stitches. Additional stitches will be used to close the incisions.
The procedure typically takes about two hours.
After the surgery
After otoplasty, your ears will be covered in bandages for protection and support.
You'll likely feel some discomfort and itching. Take pain medication as recommended by your doctor. If you take pain medication and your discomfort increases, contact your doctor immediately.
To keep pressure off your ears, avoid sleeping on your side. Also try not to rub or place excessive force on the incisions. Consider wearing button-down shirts or shirts with loosefitting collars.
A few days after otoplasty, your doctor will remove your bandages. Your ears will likely be swollen and red. You may need to wear a loose headband that covers your ears at night for a few weeks. This will help keep you from pulling your ears forward when rolling over in bed.
Talk to your doctor about when — or if — your stitches will be removed. Some stitches dissolve on their own. Others must be removed in the doctor's office in the weeks after the procedure.
Ask your doctor when it's OK to resume daily activities, such as bathing and physical activity.
Before - After
Frequently Asked Questions
Who Is A Good Candidate For The Procedure?
Healthy individuals who want to improve the appearance of large, protruding ears or ears that are misshapen may be good candidates for otoplasty. The surgery can be performed on adults and children as early as age four, at the discretion of our surgeon and the child’s parents. Having the procedure done early can help to reduce the psychological and emotional discomfort that children may experience without the procedure.
What Is Involved With The Procedure?
Different techniques are used for otoplasty, depending on the particular issue. Incisions are typically made in the back of the ear so that they aren’t easily visible. The cartilage may be reshaped, and the ear bent back closer to the head. In some cases, non-removable stitches are used to hold the new shape in place.
How Long Does The Procedure Take?
The surgery usually takes one to two hours to perform, though it may be shorter or longer depending on the situation.
What Can I Expect During My Recovery Following Otoplasty Surgery?
Patients can typically expect a recovery time of about one week following the surgery. If the patient experiences any throbbing or aching of the ears, medication can help manage such discomfort.
When Can I Return To Work Following My Surgery?
Patients can usually return to school or work in about five to seven days.
How Soon Will I Be Able To Exercise Following My Otoplasty Surgery?
Vigorous activities and involvement with contact sports will most likely need to be postponed for approximately one to two months.
Is The Procedure Covered By Insurance?
In some cases, this surgery is covered by insurance. Patients should consult with their own insurance company to discuss benefits and limitations before scheduling the procedure.