Otoplasty

What is it?

Otoplasty, also known as ear surgery, is a surgical procedure designed to correct the problem of prominent ears, which is often referred to as “protruding ears.” This surgery aims to improve both the shape and positioning of the ears, resulting in a more symmetrical and proportionate appearance to the face.

Indications:

Otoplasty is a surgical procedure performed to correct the appearance and position of the ears. It is usually indicated in cases where the person is unhappy with the appearance of their ears or has prominent (protruding) ears. The main indications for otoplasty include:

Prominent Ears: Correction of prominent ears is the most common indication for otoplasty. People who have ears that protrude too far from the head may opt for this surgery to reduce the prominence and achieve a more aesthetic appearance.

Asymmetrical Ears: When the ears are asymmetrical, that is, one is different from the other in terms of size, shape or position, otoplasty can be used to harmonize the appearance of the ears.

Correction of Injuries or Traumas: Injuries or traumas to the ears that have caused deformities or deformations in the ear cartilage can be corrected through otoplasty.

Microtia: Microtia is a congenital condition in which the ear does not develop completely. Otoplasty can be performed to reconstruct the affected ear.

Post-Operative Reconstructive Surgery: In some cases, otoplasty is indicated as part of a reconstructive procedure after the removal of skin tumors or previous ear surgeries.

Improved Self-Esteem: Many people choose otoplasty to improve their self-esteem and self-image, especially if they have been bothered by the appearance of their ears since childhood.

It is important to note that otoplasty is a safe and effective procedure when performed by a qualified and experienced plastic surgeon. The decision to undergo otoplasty should be based on personal and aesthetic considerations.

How is it done?

Otoplasty surgery is a procedure that aims to correct the appearance of the ears, especially when they are prominent, by repositioning them closer to the head. Here are the general steps of how otoplasty surgery is performed:

Anesthesia: The procedure can be performed with local anesthesia and sedation or general anesthesia, depending on the preferences of the patient and surgeon.

Incision: The surgeon makes a small incision in the back of the ear, in the natural crease, so that the scars are discreet and hidden.

Cartilage Reshaping: The surgeon reshapes the cartilage of the ear, adjusting its shape and position. This is done using specific techniques, such as removing excess cartilage, bending the cartilage to create a natural curve, or fixing the cartilage in the desired place.

Fixation: After reshaping the cartilage, the surgeon uses internal sutures to maintain the new shape of the ear and to fix it closer to the head.

Closing the Incision: The incision at the back of the ear is closed with delicate sutures.

Dressing: A dressing is usually applied to the operated area to protect the ears during the initial recovery period.

Otoplasty surgery is considered a safe procedure and usually takes 1 to 2 hours to complete. The patient can return home the same day as the surgery after a short observation period.

It is important to follow the post-operative instructions provided by the surgeon, which may include wearing a bandage for a few weeks, avoiding strenuous physical activity, and sleeping with the head elevated to reduce swelling. Recovery time can vary from person to person, but most patients return to their normal activities within a few weeks.

Postoperative

Post-operative care for otoplasty surgery involves simple care to ensure proper recovery and satisfactory results. Here are some key things to know about post-operative care for otoplasty:

Dressings: After surgery, dressings or bandages will be applied to your ears to protect them and aid in healing. These dressings are usually worn for about a week.

Swelling and Bruising: It is normal to experience swelling and bruising of the ears after surgery. This may last for a few weeks, but will gradually subside. Applying gentle ice packs to the swollen areas may help reduce swelling.

Pain and Discomfort: Most patients experience some degree of pain or discomfort in their ears after surgery. Your surgeon may prescribe pain-relieving medications, and it is important to follow the instructions on how to take them.

Rest and Care: It is essential to rest and avoid strenuous physical activity during the first few weeks after surgery. It is also recommended to sleep with your head elevated to minimize swelling.

Incision Care: Avoiding touching the incisions or ears is essential to prevent infection and complications. Keep the area clean and follow your surgeon’s instructions on how to care for your incisions.

Return to Normal Activities: Recovery time varies from person to person, but most patients can return to normal activities, such as work and school, after about a week or two. More strenuous physical activity should be avoided for a few more weeks.

Final Results: It may take a few months for the final results of otoplasty to become visible, as your ears need to adjust to their new position and swelling has completely subsided.

Follow-up Appointments: It is important to keep your scheduled follow-up appointments with your plastic surgeon. During these appointments, your surgeon will check on your recovery progress and make sure everything is going as planned.

It is essential to follow all of your plastic surgeon’s instructions during the post-operative period to ensure a successful recovery and the best possible results. Any concerns or complications should be reported to your surgeon immediately. Remember that recovery varies from patient to patient, and patience is essential to achieve satisfactory results.

At what age can you have otoplasty?

The ideal age for otoplasty can vary, but surgery is generally recommended for children aged 6 and older. At this age, the cartilage in the ears is sufficiently developed to allow surgery. However, it is important to consider factors other than age when deciding whether to have otoplasty, such as the child’s emotional maturity and their own concerns about prominent ears.

Otoplasty is often performed on school-aged children, before they are likely to be bullied or embarrassed about the appearance of their ears. In addition, children at this age tend to be more cooperative during the recovery period, which makes the process easier.

However, otoplasty is not restricted to children alone. Adults who wish to correct the positioning or shape of their ears can also opt for surgery. There is no upper age limit for otoplasty, as long as the patient is in good health.

The decision to have otoplasty should be made in consultation with a qualified plastic surgeon or otolaryngologist, who will evaluate the patient individually and discuss the goals and expectations of the surgery. It is important that the patient fully understands the procedure, the risks involved, and has realistic expectations regarding the results.