Otoplasty (Cosmetic Ear Surgery)

Many people, starting from childhood, are uncomfortable with the size or shape of their ears. Or, for some, the ears grow more than they should, are asymmetrical, or droop too low. These problems can occur on one side or both sides.

Children who have big or unusual ears may be teased by their friends.

Adults might try to hide their uncomfortable ears with their hair or by wearing hats.

The ears are very prominent, and they have really big effect on people’s appearance.

Therefore, these conditions can have a dramatic impact on a person’s appearance, psychology, confidence, and overall quality of life.

Fortunately, otoplasty, also known as ear cosmetic surgery, is repairing these conditions very easily and successfully.

Patients, who had cosmetic ear surgery, experience an important upsurge in self-confidence once their ears have been given a more aesthetic appearance.

Otoplasty Surgery Procedure

Otoplasty, or cosmetic ear surgery, is used to reshape one or both ears. Patients who are unhappy with the size, shape or orientation of their ears can change their appearance through this procedure.

Patient will receive general or local anesthetic depending on the case.

Usually the otoplasty surgery takes approximately two hours, depending on the amount of the procedure.

Patients should stay overnight in the hospital after otoplasty surgery.

Surgery starts with an incision right behind the ear, in the natural fold where the ear is joined to the head. Then the surgeon will remove the needed amounts of cartilage and skin to achieve the desired effect.

In some cases, the surgeon may trim the cartilage, shaping it into a more desirable form and then pin the cartilage back with permanent sutures to stabilise the cartilage.

In other cases, the surgeon will not remove any cartilage at all, using stitches to hold the cartilage permanently in place. After sculpting the cartilage to the desired shape, the surgeon will apply sutures to anchor the ear until healing occurs to hold the ear in the desired position.

Otoplasty also includes ear/earlobe reduction and cauliflower ear surgery to eliminate and reshape extra skin and cartilage.

After Otoplasty (Cosmetic Ear Surgery)

Patients should be careful while they are sleeping, they must sleep on their back for a week.

There might be some mild discomforts after otoplasty surgery which is normal, but surgeon will prescribe painkillers for avoid the pain.

The plastic surgeon may recommend headbands to hold the ears in the desired position. These headbands can be used for 2 weeks.

There will be a small invisible scar behind the ear after the surgery.

Frequently Asked Questions About Otoplasty (Cosmetic Ear Surgery)

In adults, otoplasty is usually performed as an outpatient procedure under local or regional anesthesia.

In children under the age of 8, general anesthesia is usually administered to keep them still during the procedure. All incisions are made behind the ear so there are no visible scars after the operation.

If the ears are protruding, they may be rotated backward. If some of the natural folds of the ear are missing, they can be created from tissues taken from other parts of the ear or body.

Ears that have been injured and are thickened can be thinned and sculpted.

At the end of the operation, a pressure dressing is placed over the ear(s) to hold it in place while it heals.

After the dressings are removed, you will see an immediate difference in the ear, although some residual swelling may remain.

It can help increase your self-esteem and confidence, especially if you have noticeably protruding and large ears. 

There’s no exact ideal age when it comes to receiving otoplasty surgery. In fact, most children around the age of 4 or 5 are eligible to undergo the surgery if their ears are fully developed. 

People also partially complete ear development at age 5. Until the age of 5, it is not necessary to intervene in the ear.

 Until a day or two after ear surgery, pain can be managed with painkillers. Depending on the technique of the operation performed later, a bandana is worn. With this bandana, the patient can easily return to normal life. In some surgical techniques, the patient can return to his daily life without having to wear a bandana.

As in many surgical operations, we can see the final shape of the ear after 3 to 6 months.

Post-operative cartilage infections should be avoided. Because cartilage infection spreads very fast and cartilage is a condition that can erupt. For this reason, the dressings should be used with great care and given antibiotics regularly. Also, it is not suitable to put on the ear for a week.

There is 10% to 20% of change. In this case, surgery may need to be repeated.

In these surgeries, there are two important risks in general: first, because of a poorly executed operation, some issues may occur. Secondly, cartilage infections should be avoided.

It is an incisionless operation performed to people who have abnormal prominent ears, sutures are used to pin back the ear to the required angle. incisionless  otoplasty is a very popular technique performed to people who have symmetry problems in their ears and / or abnormal prominents and protrude auricle with a light ear deformation.

It is a risk-free and easy procedure. Ideal for people who are afraid of long surgeries and incisions.sutures are placed in the ear using a needle. And there is no need for stitching because its an incisionless procedure, Bleeding during procedure is insignificant due to the micro interventions to the cartilage.

Also it has the shortest recovory time and it is one of the most preferred techniques.

Prominent ear surgeries (otoplasty) incision is made from behind the ear, and many different tools can be used to make this incision like: With scalpel, cautery, laser or sapphire and its not right to say that one of these tools is better than the other.

Small bleeding during the incision is normal and the amount of bleeding does not change according to the cutting tools used. Resulting  Bleeding from the skin cut during the operation  is not the point of attention, the real point of attention is the incisions made to intervene in cartilage.

Cartilage incision must be made very carefully, otherwise the vessels on the cartilage may be damaged and intense bleeding may occur.

Whether the incision is made with laser or other cutting tools, the vessels on the cartilage must be cauterized.

Laser-assisted otoplasty attracts great attention because it sounds easier and painless, but contrary to popular belief, postoperative wound healing process may take more time than wound healing process when the operation performed using scalpel.

Ears with a space of 1-1.5 cm between the skull and the ear when viewed from the front and sides are considered bat ears.

The definite solution is surgiacal solution. Many people hide their ears using hair, hats or scarves to avoid surgery, but these are not permanent solutions

Surgery is recommended at preschool period after the child’s ears growth is completed. Because school children are cynical, they might make fun of the child or call him/her with a sarcastic nicknames which can negatively affect the child’s psychology.

However, it is common for families not to see the bat ears of their children as a problem and not working on correcting it, Therefore, according to the researches carried out, most otoplasty surgeries are performed in puberty and adulthood period.

Incisions are made behind the ear during surgery therefore its  not easily seen. As time goes by, these scars will be mostly not visable within a period of 6-12 months.