Otoplasty - Ear Correction

The size, shape and position of the normal ear are most often a familial characteristic. This can be observed by comparing parents, grandparent and siblings of any patient under examination. Deformities of the ear are also of similar nature, including those which show variations of cartilage contour and the protruding ear, particularly when both sides are involved.

The child with protruding ears is often subjected to unkind remarks that can be a source of significant distress. Feeling of self-consciousness, rejection and hostility are underlying reactions to lack of peer acceptance. While adults generally do not express such attitudes openly, the grown individual frequently maintains the same sensitivities that were present during childhood. Fortunately longer hairstyles in recent years have provided better opportunity for cover. Conventional styles still permit noticeable exposure in the male patient.

Surgical correction can be performed quite effectively as early as 14 to 16 years old. By that time, the ear itself has reached almost adult size so that there will be little if any subsequent change. The operation is performed by repositioning or otherwise altering the flexible cartilage, which must be treated in a different manner. Classically, surgical objectives are to reduce the protrusion and at the same time to provide a normal configuration when the ear is viewed from the side. Surgical incisions are ordinarily placed behind the ear where any remaining surface scars will not be visible. Occasionally external incisions are required and these can be placed inconspicuously within the normal contours.

In other performance of this operation it is necessary to raise and partially separated the skin from the underlying cartilage After correction of position and contour, the skin is replaced and secured by surgical sutures and carefully applied dressing. In order to avoid undesirable irregularities, the new cartilage contours are supported with soft cotton padding. Application of a total head dressing (turban style) is necessary so that both ears can be protected, swelling minimised and discomfort limited. The large bulky head dressing will also permit the patient to turn from side to side when asleep with painful pressure. In this case, the surgical had dressing is important for achieving optimum results. It is ordinarily worn for approximately five to seven days after which time the swelling will gradually disappear. Some variations in management should be anticipated, depending largely upon the specific correction under consideration.The hazards or risks of the procedure are few. Probably the most common is residual irregularity i the cartilage when the ear is viewed from either frontal or lateral planes. It should be noted, however, that both ears are never exactly alike, even in the normal state and that perfect symmetry is therefore not a reasonable expectation. Significant degrees of difference may, however, require some secondary adjustment. One other risk that deserves special notice is potential fluid or blood collection between the skin and the cartilage, resulting in notable change of configuration. The purpose of the head dressing and careful padding is to avoid this fluid collection therefore it should not be disturbed. Minor adjustments in earlobes may be desirable afterward. The operation has no adverse effects upon the hearing mechanism, which involves the inner structures.

The otoplastic operation is generally the most successful and can truly provide satisfaction with improved personal confidence and self-esteem.

How long does it take?
The operation itself takes less than an hour. You will normally have to stay in hospital for the day or alternatively have the procedure under local anesthetic in day surgery. No overnight stay is required.

When can I wear makeup?
Immediately after the bandages are removed, so long as you stay away from the ear area.

For further information and an initial complimentary consultation with a counselor, please contact your nearest Australian Aesthetic Surgery Centre.