Otoplasty – Correction of Protruding Ears

Surgery for so-called "protruding ears" or otoplasty – correction of prominent or deformed ears 

Good overall health and realistic expectations are prerequisites for a successful procedure. It is also important to understand the procedure itself. Otoplasty will not improve your hearing. What is essential for a successful otoplasty is that the ears are proportionate to the size and shape of the face and head. This is a surgical procedure used to correct ears that stick out from the head or appear too large in proportion to the head.

When considering otoplasty, parents must be confident that it is in the best interest of their child. A positive attitude prior to the procedure is an important factor in any facial corrective surgery, especially when the patient is a child or adolescent.

Adult candidates for otoplasty must understand that the firm cartilage of a fully developed ear does not allow the same flexibility in shaping as it does in children. A consultation with a surgeon can help parents decide what is best for their child—not only aesthetically, but also physiologically and psychologically. The timing of the surgery is always an important decision. Performing the procedure at a younger age is highly desirable for two reasons: the cartilage is very pliable and allows greater shaping possibilities, and the child will benefit psychologically from the cosmetic improvement.

How to decide on surgery? 

Your choice of a skilled surgeon is of crucial importance. During the consultation, the surgeon will examine the structure of the ear and discuss correction options with you. If only one ear requires "pinning," the procedure will most likely be recommended on both ears in order to achieve the most natural and symmetrical appearance.

Once you and the surgeon decide that otoplasty is the right choice for you or your child, the surgeon will explain the procedure, type of anesthesia, and surgical options. Typically, general anesthesia is recommended for younger patients, while local anesthesia with mild sedation is suggested for older children and adults. Under normal circumstances, the surgery takes approximately two hours.

About otoplasty 

The procedure begins with an incision behind the ear, in the fold where the ear meets the head. The surgeon will then remove the necessary amount of cartilage and skin to achieve the desired effect. Depending on the type of correction needed, the surgeon may cut and reshape the cartilage to the desired form and secure it in place with permanent stitches. In some cases, the cartilage will not be removed but shaped using sutures. Once the desired shape is achieved, the ear will be held in position until healing naturally maintains it in place.

What to expect after surgery? 

Once the reshaping is complete, the surgeon will close the incisions and apply a bandage over the ear to protect it and help maintain the new shape. This bandage is typically kept in place for several days, after which the patient may be advised to wear a special headband at night for a few weeks to prevent damage to the ear while sleeping. Soft dressings placed on the ear usually remain for 5 to 10 days. Most patients experience mild discomfort. If you’re used to sleeping on your side, you will need to avoid that position for about a week to prevent additional pressure on the ears. In some cases, headbands are recommended to support ear positioning for up to two weeks after the procedure.

The risk associated with the surgery is minimal. After the wound heals, a thin, whitish scar may remain behind the ear. Since it is located in the natural fold behind the ear, it is practically invisible. If pain increases after surgery, it is likely due to a bandage that is too tight. In that case, it's important to contact your surgeon to prevent possible complications.

In most cases, patients can return home the same day as the surgery and resume work or school within a few days. However, full recovery may take several weeks, during which it's important to avoid activities that could strain the ears, such as contact sports or carrying heavy items on the head.