COSMETIC EAR SURGERY

If you’re considering ear surgery (otoplasty)…

Ear surgery, or otoplasty, is primarily done to set prominent ears closer to the head or to reduce the size of large ears. Usually, the operation is done on children between the ages of four and fourteen.  Ears are almost fully grown by age four, and the earlier the surgery, the less teasing and ridicule the child may have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an adult patient.

If you are considering ear surgery for yourself or your child, this information will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, however, since a lot depends on individual circumstances. Please be sure to ask your doctor if there is anything you don’t understand about the procedure.

Click here for Before and After Patient images

ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK

When ear surgery is performed by a qualified, experienced surgeon, complications are infrequent and usually minor. Nevertheless, as with any operation, there are risks associated with this procedure.

A small percentage of patients may develop a blood clot on the ear. It may dissolve naturally or can be drawn out with a needle.

Occasionally, a patient can develop an infection of the cartilage, which can cause scar tissue to form. Such infections are usually treated with antibiotics. Surgery may be required to treat the infected area, but this is a rare occurrence.

PLANNING FOR SURGERY

Most surgeons recommend that parents stay alert to their child’s feelings about protruding ears and don’t insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the healing process and happier with the outcome.

WHERE THE SURGERY WILL BE PERFORMED

Ear surgery is performed in an outpatient surgery center.

TYPES OF ANESTHESIA

The surgery is usually performed with general anesthesia, so the patient will sleep through the operation.

THE SURGERY

Ear surgery typically takes about two to three hours, although complicated procedures may take longer. The technique used will depend on the problem. Usually a small incision is made in the back of the ear to expose the ear cartilage. The cartilage is then sculpted in the appropriate areas to create the natural folds. The cartilage will be sculpted and bend back toward the head. Non-removable permanent stitches are used to help maintain the new shape.

Ear surgery will leave a faint scar in the back of the ear that will fade with time.

GETTING BACK TO NORMAL

Adults and children are usually up and around within a few hours of surgery. The patient’s head will be wrapped in a bulky bandage immediately following surgery to protect and promote the best molding and healing. The ears may throb or ache a little for a few days, but this can be relieved by medication.

In about 10 days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Be sure to follow your surgeon’s directions for wearing this dressing, especially at night.

Stitches usually dissolve in about a week or two.

Any activity in which the ear might be bent should be avoided for a couple of months. Most adults can go back to work once the bandage is removed. Children need to be careful about playground activity. You may want to ask your child’s teacher to keep an eye on the child for a few weeks. It will be 6-8 weeks before the ears are as strong as normal ears.

Besides protruding ears, there are a variety of other ear problems that can be helped with surgery. Surgery can also improve large or stretched earlobes, or lobes with large creases and wrinkles that can be treated in the office under local anesthesia.

MORE NATURAL LOOKING EARS

Most patients, young and old alike, are thrilled with the results of ear surgery. But keep in mind, the goal is improvement not perfection. Don’t expect both ears to match perfectly as perfect symmetry is unlikely and unnatural in ears. If you’ve discussed the procedure and your expectations with the surgeon before the operation, chances are you’ll be quite pleased with the result.

Ears that appear to stick out or are overly large can be helped by ear surgery.
An incision is made in the back of the ear so cartilage can be sculpted or folded. Stitches are used to close the incision and help maintain the new shape.
Creating a fold in the cartilage makes the ear lie flatter against the head and appear more normal.
After surgery, the breasts are higher and firmer, with sutures usually located around the areola, below it, and in the crease under the breast.
If your expectations are realistic, chances are you’ll be satisfied with your breast lift.