Otoplasty
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Otoplasty, or surgery of the ears, is a plastic surgery procedure which can improve the appearance of large or protruding ears. During surgery, the ears can be pinned back, reshaped, reduced in size, or made more symmetrical. The goal of otoplasty is to alter the ears so that they are in proportion to the size and shape of the head and face.
Individuals who are looking to improve the appearance of large or protruding ears may be good candidates for otoplasty. The surgery may be performed on children as young as five to six years of age. Having the surgery at a young age is often recommended because the cartilage of the ears is more pliable and because the surgery can help to spare children the teasing commonly associated with large ears. While otoplasty can also be performed on adults, they must understand that the cartilage of fully developed ears is firmer and not as pliable as in younger children. As with other forms of cosmetic surgery, good health and realistic expectations are essential. During the consultation, Dr. Donath will help you to decide if otoplasty is right for you or your child.
General anesthesia is commonly used for the otoplasty surgery when the patient is a child. Adults and older children may receive a local anesthetic and a mild sedative. Dr. Donath will begin the surgery by making an incision just behind the ear within the natural fold where the ear and head meet. Working through the incisions, certain amounts of cartilage and skin may be removed and the ear will be reshaped into a more desirable form. Permanent sutures may be used to pin back the cartilage. In some cases, cartilage may not be removed but simply reshaped and held in place with stitches. Both ears are typically treated even when only one ear appears to protrude. In most cases, otoplasty takes about two hours to complete.
Any dressings applied to the ears after surgery will be removed within a few days. Some discomfort may occur which can be controlled with prescription medication. Sleep may be disrupted for a week or so for those used to sleeping on their sides. A headband may need to be worn to hold the ears in position for about two weeks. Stitches are usually removed or dissolve on their own within about a week. The location of the incisions within a crease on the back of the ear allows the resulting scars to be imperceptible. Most patients are able to return to work or school within five to seven days after otoplasty, though rigorous activities and contact sports will be prohibited for a month or more.
Read frequently asked otoplasty questions.
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