Ear surgery, also known as otoplasty, can improve the shape, position or proportion of the ear. It can correct a defect in the ear structure that is present at birth, that becomes apparent with development or it can treat misshapen ears caused by injury.
What a Ear Surgery Can Do
Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound beneﬁts to appearance and self-esteem.
Specifically ear surgery can treat:
- Overly large ears — a rare condition called macrotia
- Protruding ears occurring on one or both sides in varying degrees — not associated with hearing loss
- Adult dissatisfaction with previous ear surgery
Best Candidates for Ear Surgery
Children who are good candidates for ear surgery are:
- Healthy, without a life-threatening illness or untreated chronic ear infections
- Generally 5 years old, or when a child’s ear cartilage is stable enough for correction
- Cooperative and follow instructions well
- Able to communicate their feelings and do not voice objections when surgery is discussed
Teenagers and adults who are good candidates for ear surgery are:
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Individuals with a positive outlook and specific goals in mind for ear surgery.
Is Ear Surgery Right for Me?
Ear surgery is a highly individualized procedure and you should do it for yourself, not to fulﬁll someone else’s desires or to try to ﬁt any sort of ideal image.
Preparing for Ear Surgery
The success and safety of your procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.
Prior to surgery, you may be asked to:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin and certain anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the day of surgery
- The use of anesthesia during your procedure
- Post-operative care and follow-up
Your plastic surgeon will also discuss where your procedure will be performed. Depending on the type of surgery you will undergo, your procedure may be performed in your plastic surgeon’s accredited ofﬁce-based surgical facility, an ambulatory surgical facility or a hospital.
If your ear surgery is performed on an outpatient basis, be sure to arrange for someone to drive you home after surgery and to stay with you for at least the ﬁrst night following surgery.
Ear Surgery Overview
Medications are administered for your comfort during the surgical procedure. The choices include local, intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Correction of protruding ears uses surgical techniques to create or increase the antihelical fold (just inside the rim of the ear) and to reduce enlarged conchal cartilage (the largest and deepest concavity of the external ear). Incisions for otoplasty are generally made on the back surface of the ear. When incisions are necessary on the front of the ear, they are made within its folds to hide them. Internal, non-removable sutures are used to create and secure the newly shaped cartilage in place.
Closing the Incisions
External stitches close the incision. Techniques are individualized, taking care not to distort other structures and to avoid an unnatural “pinned back” appearance.
Ear Surgery Results
Ear surgery offers near immediate results in cases of protruding ears, visible once the dressings that support the new shape of the ear during initial phases of healing are removed. With the ear permanently positioned closer to the head, surgical scars are either hidden behind the ear or well-hidden in the natural creases of the ear.
Will There be Scars?
The scars are hidden behind the ear and hence are not easily visible. However, if you are prone to scarring problems such as keloids, you should discuss this with your surgeon before the procedure.
Ear Surgery Recovery
After surgery, bandages or dressings will be applied to keep your surgical site clean, protect it from trauma and to support the new position of the ear during initial healing.
Discomfort immediately following ear surgery is normal and can be controlled with pain medication. There may be an itchy feeling under bandages. It is essential that bandages remain intact and are not removed, for any reason. Failure to do so may result in loss of some of the correction and may require a secondary surgery.
You will be given speciﬁc instructions that may include: How to take care of your ears following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon.
Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period:
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery?
- When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
When You Go Home
Should any complications occur, notify your plastic surgeon who will determine if any additional treatment is needed.
Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you speciﬁc instructions on how to care for yourself.
It’s very important to follow your plastic surgeon’s instructions and attend follow-up visits as scheduled.
Possible Risks of Ear Surgery
The decision to have ear surgery is extremely personal and you’ll have to decide if the beneﬁts will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon and/or staff will explain in detail the risks associated with surgery.
You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo, the alternatives and the most likely risks and potential complications.
Possible risks of ear surgery include:
- Bleeding (hematoma)
- Blood clots
- Poor wound healing
- Change in skin sensation
- Skin contour irregularities
- Skin discoloration/swelling
- Anesthesia risks
- Unfavorable scarring
- Allergies to tape, suture materials, glues, blood products, topical preparations or injected agents
- Pain, which may persist
- Possibility of revisional surgery
These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.
Note: It’s very important to ask your plastic surgeon questions about your procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.