Ear Reshaping / Otoplasty

Otoplasty involves correction of mal-shaped ears, mainly prominent ears. Prominent ears or malshaped ears are not only cosmetically disfiguring but also have psychological ramifications. Therefore, early correction of the deformity is beneficial.Otoplastycan improve the shape, position or proportion of the ear. 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.

Before

After

How is otoplasty performed?

The surgery is performed in an operation theater under local, intravenous sedation or general anaesthesia. Your cosmetic surgeon will recommend the best option for you.

Correction of prominent ears – Incisions for otoplasty are generally made on the back surface of the ear. In some severe cases, an ellipse of skin may be excised on the back side of the ears to correct the problem. Through this incision the framework of the ear is modified to correct the proble. This may require creating or increasing the antihelical fold (just inside the rim of the ear) and reducing the enlarged conchal cartilage (the largest and deepest concavity of the external ear). Permanent sutures are placed internally to securely hold the newly shaped cartilage in place. The incisions are closed and a compressive dressing is applied.

Recovery

You will be advised to rest with your head elevated and to apply cold compresses to minimize swelling. You need to protect your ears and may be advised to use headbands to hold the ears back for approximately a month after surgery. Stitches are generally removed after 7 days.

With the ear permanently positioned closer to the head, surgical scars are well hidden behind the ear.

Possible risks

Otoplastyis a surgical procedure and has some potential problems associated with it. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

The potential risks include:

• Bleeding (hematoma)
• Asymmetry
• Infection
• Poor wound healing
• Change in skin sensation
• Skin contour irregularities
• Skin discoloration/swelling
• Anesthesia risks
• Unfavorable scarring
• Allergies to tape, suture materials, topical preparations or injected agents
• Possibility of revision surgery

Consultation

During consultation be prepared to discuss:

• Your surgical goals
• Medical conditions, drug allergies, and medical treatments
• Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use
• Previous surgeries

Your aesthetic surgeon will also:

• Evaluate your general health status and any pre-existing health conditions or risk factors
• Take clinical photographs
• Discuss your options
• Recommend a course of treatment
• Discuss likely outcomes of surgery and any risks or potential complications

It’s very important to understand all aspects of 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 cosmetic surgeon.

Preparing for Otoplasty

In preparing for surgery, you may be instructed as follows:

• Get lab testing or a medical evaluation.
• Take certain medications or adjust your current medications
• Stop smoking
• Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding