SURGICAL PROCEDURES

Otoplasty

Overview

An otoplasty is a corrective procedure done to alter the shape, alignment and size of the ears. By realigning the ears closer to the head through a technique called “pinning”, the ears appear less prominent and in close proximity to the head. Whatever scarring remains hidden in the ears' folds, so there are no permanent signs of the surgery.

An otoplasty is an entirely safe reconstructive procedure done to reposition the ears in a more cosmetically pleasing manner.

An otoplasty corrects the following:

  • Ears that stick out too far
  • Misshapen ears as a result of an injury or congenital disability

Surgery targets the outer part of the ear (auricle), the portion most visible. The auricle is the part that contains cartilage folds that submerge the skin. For instance, when the auricle does not form completely, your surgeon will have to perform otoplasty to correct the size, alignment and shape of the ears.

Procedure

Different types of anaesthetic are administered. For example, local anaesthesia is used to sedate adult patients and children over twelve, whereas general anaesthesia is used to relax paediatric patients.

An incision is made behind the ear. Afterwards, the surgeon removes a tiny portion of ear cartilage and then folds the residual cartilage, moving the ear near the head.

Apart from ear pinning, other forms of otoplasty exist, such as:

  • Augmentation of the ears focuses on enhancing the size of the outer ears.
  • Reduction of the ears (macrotia) reduces the size of prominent ears so that they are well-contoured to suit the rest of the face.

Recovery

A compression bandage wrapped around the ears is worn for two to three days to allow the ears to heal. It is normal to experience throbbing in the ears that will eventually go away after taking the medication the doctor prescribes. Usually, a follow-up consultation is scheduled a week after the otoplasty. A complete physical check-up helps assess the condition of the ears after surgery.

FAQ

1What can I expect before an otoplasty?
A pre-operative evaluation involves looking over your medical history, which includes asking questions about your medications and the surgeries you have undergone. After this, the surgeon will examine your ears, taking pictures from several angles. Finally, he will give you an idea of how the procedure is done, the costs involved, potential risks and recovery from the otoplasty.
2What are the side effects of an otoplasty?
Although rare, side effects of otoplasty include sore and itchy ears, swelling and redness around the ears, bruising and a tingling sensation near the ears.
3Are the results of an otoplasty permanent?
An otoplasty is a permanent procedure that does not necessarily require further touch-ups or revision surgery. When there is a need for revision surgery, the procedure occurs while the patient is sedated (local anaesthetic). Revision surgery is usually minor.

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