Overview

Ear surgery or otoplasty is a cosmetic surgery that can reshape the ears, decrease their size, or pin back ears that protrude for natural-looking, proportionate appearance. Otoplasty can give patients as young as 6 years old confidence, freedom from anxiety, and avoid teasing during their childhood. At Contour Plastic Surgery & MedSpa in Downers Grove, IL, plastic surgeon Dr. Paresi addresses abnormalities of the ears with ear surgery that removes excess cartilage, repositions the ears for a better fit with the face’s natural contours, and pins back ears that stick out too far.

Ear Surgery Results

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Causes of Prominent Ears

The two most common causes of prominent ears are; lack of the antihelical fold, and conchal bowl excess.  Patients may have one or both of these issues which cause their prominent ears.  Lack of an antihelical fold is when the upper part of the ear (scaphae) is not adequately folded resulting in an ear that excessively sticks out from the side of the head.   The concha is the central portion of the ear where the ear canal is.  In some cases, this conchal bowl is too large ( conchal hypertrophy) resulting in a more prominent ear.  This conchal bowl can be reduced to address the prominent ear. 

Earlobe Repair

Torn earlobe repair is one of the most common plastic surgery procedures on the ears.  Most commonly, it involves a linear tear on the earlobe from earrings that have torn through.  In more complex cases, such as gauged ears, the repair is more complicated.  In either case,these repairs can be done under local anesthesia in less than one hour.  Patients can have their ears re-pierced in about a month.

Ear Surgery

Surgical Technique

The technique used during ear surgery will depend on the abnormality. First, there may be an insufficient amount of ear cartilage to support the fold of the ear, or too much cartilage where the ear canal starts. Both issues will cause the ear to protrude outward. In some cases, the ears may appear too large. Regardless of the condition, the cartilage will usually be addressed and either removed or reshaped. Then, the cartilage will be secured with sutures into a new position closer to the head. The incision is generally placed within the natural folds of the ear so scarring is not an issue.
Ear Surgery

After Surgery

All otoplasties are performed under general anesthesia as an outpatient procedure in an accredited surgical facility. The entire surgery typically takes about 2 hours to complete. After surgery, patients will be sent home with their heads wrapped in a compression bandage, which will later be replaced with lighter bandaging. Initially, patients will feel discomfort if they attempt to move their ears. This will subside in a few days. Younger patients will need to be monitored so they do not touch or play with their ears during the healing process.

Ear Surgery FAQs

Permanent Results?
The results following an otoplasty procedure are long lasting. However, just like any other cosmetic procedure, aging and gravity may cause increased laxity. This could eventually affect the position of the ears. For the most part, the improvements made with this surgery are still significant.

Children between the ages of 4-6 are considered within the ideal range for this surgery. From an anatomical standpoint, the cartilage is still soft and will be easier to remold and manipulate. From a psychological standpoint, having this surgery before starting elementary school can help avoid teasing and ridicule from classmates.

In the majority of cases, both ears are affected. Therefore, surgery is performed on both ears. However, there may sometimes be an abnormality in just one ear. If this is the case, surgery will be performed on the affected ear, which will be made to match the opposing ear.

Still have a question?

At Contour Plastic Surgery & Med Spa, our expert team is here to guide you every step of the way. We’re happy to answer your questions and help you feel confident in your choices. Contact us today to schedule your consultation — your journey to looking and feeling your best starts here!

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