Otoplasty Procedure
Overview
Otoplasty is a type of plastic surgery that adjusts the ears’ shape, position, or size. People may choose this procedure when they feel their ears stick out too much, have misshapen ears from birth, or have experienced an injury that changed their ears’ appearance. Otoplasty can help create a more balanced look for the ears.
Who Can Get Otoplasty?
- Children, usually starting as young as 4 to 6 years old
- Teenagers and adults, as long as the ears have finished growing
Common reasons for otoplasty include:
- Protruding ears
- Differences in ear shape from birth
- Changes caused by accidents or trauma
In certain cases, newborns with prominent or irregularly shaped ears might not need surgery. A method called splinting can help in the first few days of life. During splinting, soft devices gently mold the baby’s outer ear over several weeks. This method helps the ear form a better shape without surgery, but works best shortly after birth.
| Method | Age Group | Surgery Needed? |
|---|---|---|
| Otoplasty | Children/Adults | Yes |
| Splinting | Newborns | No |
Surgeons who specialize in plastic and reconstructive surgery of the ear perform otoplasty procedures.
Reasons People Choose Otoplasty
People often consider otoplasty to address protruding, prominent, or misshapen ears. It is also chosen for large ears or ear deformities that can make someone feel self-conscious. Surgery may be an option for those seeking to improve the appearance after a previous ear operation. Common reasons to seek otoplasty:
- Ears that noticeably stick out.
- Ears larger than typical for the head size.
- Previous ear surgery with unsatisfactory results.
The procedure can help boost self-confidence and support better self-esteem. Many experience psychological benefits because of the enhanced balance and shape given to the ears. Otoplasty is usually done on both ears for a more even look, but does not affect hearing or ear position on the head.
Risks
Otoplasty, like most surgical procedures, comes with certain risks. These include bleeding, blood clots, infection, and possible reactions to anesthesia used during the operation. Any reaction to anesthesia might require quick medical attention. Other possible issues are:
Scarring: Surgeons make incisions during the surgery that may leave scars. These are usually well-hidden behind or within the folds of the ears.
Asymmetry: Sometimes the ears may not look evenly placed after surgery. This can happen as the area heals, or may not be fully corrected if there was a difference before surgery.
Changes in Sensation: Some people notice less feeling or numbness in the ear area. This usually gets better over time, but could last longer in rare cases.
Overcorrection: The ears may end up looking too close to the head. This is called a “pinned back” effect.
| Risk | Description |
|---|---|
| Bleeding/Clots | May need additional care or intervention. |
| Infection | Requires treatment with medicine. |
| Reaction to Anesthesia | May cause temporary or serious concerns. |
| Scarring | Small, often hidden, but permanent. |
| Asymmetry | Uneven placement after healing. |
| Numbness | Temporary or rarely permanent. |
| Overcorrection | Ears too close to head. |
Each person’s experience with these risks can differ, depending on the technique and healing process.
Getting Ready for Surgery
Medications and Natural Products
Doctors usually tell patients to avoid aspirin, anti-inflammatory drugs, and certain herbal supplements before surgery. These substances can increase the risk of bleeding. It’s important to share a full list of all medicines and natural products with the surgical team. A table like the one below can help you keep track:
| Type | Safe to Take? | Notes |
|---|---|---|
| Aspirin | No | Avoid |
| Anti-inflammatory drugs | No | Avoid |
| Herbal supplements | No | Avoid |
| Prescription medicines | Ask your provider | Some may be fine |
Always check with your healthcare provider before stopping or changing any medications.
Tobacco Use
People who smoke should quit before their procedure and continue to avoid smoking while healing. Using tobacco products lowers blood flow, which makes it harder for the body to heal. Nicotine patches or support groups can help those trying to stop.
Making Arrangements Ahead of Time
Patients need to organize a safe way to get home after surgery. Driving themselves is not allowed. Someone—such as a family member or close friend—should stay with them for at least the first night, as extra help may be needed. Setting up a comfortable recovery space at home with pillows, water, and any necessary items is also important.
What You Can Expect
Before the procedure, patients usually visit a hospital or a certified medical center. Medical staff give medicines to make the person comfortable. Some people receive general anesthesia, which means they are asleep during surgery.
Others may get local anesthesia with sedatives, so only the ear area feels numb and relaxed. Doctors discuss the surgery steps, explain what to expect, and answer questions. They may also review health history and remind patients about not eating or drinking before the procedure.
| Preparation Step | Details |
|---|---|
| Location | Hospital or surgery center |
| Anesthesia Type | General or local with sedation |
| Patient Instructions | Review health, fasting, questions |
While the Surgery Is Happening
Surgeons use different techniques for otoplasty, depending on each person’s needs. The surgeon chooses where to make small cuts, often behind the ear or in the ear’s inner folds. These spots help keep scars hidden.
Next, the surgeon carefully removes extra tissue, like cartilage or skin. The surgeon adjusts the ear’s shape and holds it in place with stitches on the inside. Then, the outer cuts are closed with more stitches. Usually, the whole operation lasts around 1 to 2 hours.
What Happens Next
After the surgery, the care team wraps the ears in special dressings or bandages. This protects and supports the new shape. Patients can expect some pain or itching, which medication recommended by the doctor can usually manage.
Tips for Recovery and Aftercare
- Avoid lying on the side to keep pressure off the ears.
- Wear shirts with loose collars or buttons to prevent pulling on dressings.
- Refrain from rubbing or touching the incision areas.
A few days later, health staff remove the main bandages. Swelling is normal. Patients may be asked to wear a soft headband that covers the ears at night for several weeks. This prevents the ears from moving or getting pulled during sleep.
Some stitches dissolve naturally, while others may need removal during a follow-up visit. The care team will inform patients when to return for check-ups and when normal activities, such as bathing and exercise, can be started again.
Typical Follow-up
- Regular check-ins with the healthcare provider.
- Guidance on when stitches come out (if needed).
- Advice for returning to school, work, or sports.
Outcomes
After doctors remove the bandages, people usually notice a visible change in the shape and position of their ears. These improvements in appearance generally last permanently. If the results do not meet expectations, some patients may discuss revision surgery with their doctor.
Key Points
- Cosmetic improvement is usually noticeable right away.
- Results are long-lasting.
- Revision surgery is possible if needed.
