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aiken plastic surgery
Dean Page, MD, FACS
...in search of the new you

Ear Surgery

Surgery of the ear, also known as otoplasty, is a procedure that helps reduce protrusion of the ear away from the head.  Most often, ear surgery is performed on children between the ages of four to fourteen.  Ears that “stick out” are often the source of teasing and ridicule in young children.  This teasing can have a devastating effect on the child’s psyche.

Otoplasty is not limited to children and may also be performed on older patients.  Cosmetic procedures are available for those individuals with large ears and for those with congenital (birth) irregularities that detract from their appearance.  Additionally, an individual’s ears may exhibit abnormal traits due to their genetic make-up or an accidental injury, such as losing an ear or part of an ear.  Otoplasty is used successfully for each of these situations. 

Ear lobes are repaired frequently for elongation or tearing of piercing holes. It is best to have these piercing defects repaired befor they tear completlely through the ear margin. Ear lobes can also be reduced in size due to enlargement that becomes excessive during the aging process. Regardless of the procedure, patients have been pleased with the long-lasting improvements to their appearance offered by ear surgery.

Reasons for Considering Ear Surgery:

  • Bring proportion to the face if the ears “stick out” too much.
  • Correct folded ear tips (lop ear).
  • Reshape enlarged, long or offset earlobes.
  • Enhance very small ears or other congenital defects.
  • Remedy an accidental injury, such as a torn piercing site or the loss of an ear.

General Procedure

Ear surgery is commonly performed under general anesthesia for children and local anesthesia for adults.  The standard otoplasty procedure brings the ears closer to the head.  Otoplasty begins with an incision hidden in the crease behind the ear.  This incision allows the cartilage located behind the ears to be reshaped in order to position them closer to the head.  The procedure takes approximately one to two hours, depending upon the extent of surgery.

There are various surgical techniques involved in correcting irregularities other than protruding ears.  These techniques can be discussed with your physician during the initial consultation.

Recovery Process

After the surgery is completed, bandages will be wrapped around the head for positional otoplasties and less involved dressings in smaller procedures. This method secures the ear in place and assists with the healing process.  The bandages are usually removed soon after surgery and replaced with smaller dressings.  Generally, post-operative instructions call for plenty of rest and elevation of the head in order to speed up the healing process and reduce swelling post-operatively.  Patients sometimes report minor pain associated with surgery.  Pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions. Ear lobes can be repierced six weeks after simple repairs and at six months for more complex repairs or ear lobe reduction procedures.

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