Otoplasty

Otoplasty

Prominent ear surgery, AKA otoplasty, will address ear prominence, shape, asymmetry and proportion in relation to the face and restore overall balance. Even mild cases of disproportion or asymmetry can be a source of distress and impact self-esteem.

The operation can correct the size of the ears, address any asymmetry and correct its position in relation to your head. It is suited for even young individuals –children- if it is a source of harassment by peers, as much as healthy adults who are unhappy with their ears. The condition should not be in association with hearing loss or chronic ear infection. Please be advised that you should have realistic goals and outlook as the procedure is highly individualised.

During consultation you have to disclose any existing medical conditions along with your reasoning for pursuing otoplasty. Your surgeon will be keen to see if your expectations are real and will discuss surgical options tailored to your needs. You should make use of this opportunity and ask questions to ensure you are clear about the treatment plan so that you can make an informed decision.

Prominent ear surgery is usually carried out under local anaesthesia unless the patient is a young minor. An incision is usually placed behind your ear through which your surgeon will have access to the cartilaginous part of your ear. This allows your surgeon to modify or resect cartilage according to your needs as discussed preoperatively. Absorbable sutures are placed to fix the cartilage in its new shape or position and the skin incision is then closed. A compression dressing is applied over your ears, which can later be changed to a headband.

Otoplasty, similar to any other surgical procedure may lead to complications thus it is crucial that you consider the risk/benefit ratio and make an informed decision as to go ahead with surgery or not. Bear in mind that your decision should be based on what YOU want and not what someone else wants you to have done.

Possible risks associated with otoplasty include a risk of infection, bleeding, asymmetry, changes in sensation, relapse in case of prominent ears, as well as poor scar healing.

Following surgery you will spend a few hours in the hospital but discharged later that day once your surgeon is happy with your progress. Ear surgery may be uncomfortable but the pain can easily be overcome with oral medication. It is important that you follow your surgeon’s instruction and do not remove the bandage unless instructed otherwise. Your surgeon will organise for you to be seen again after a couple of days at which point he/she will change the compression bandage and apply a headband instead. Further follow up will be a week following surgery. Sutures are removed after two weeks along with the headband.