Ear in human, like other mammals, is the organ serves two quite different functions: first enables us to hear sounds and voices and then keep balance.
An ear consists of three distinguishable parts: the outer, middle and inner ear which each part has different function.
Ear surgery also called otoplasty is a cosmetic surgical procedure to correct the defect in an ear structure whether presented at birth or caused by injuries. In another word, ear surgery or otoplasty is a good solution to improve the shape, position, or proportion of the ear. This surgery is performed on the auricle which is the outer and visible part of an ear.
In otoplasty procedure, the size, shape, and or position of the auricles can be adjusted. Depending on your ear defect, one or a combination of 2 or 3 can be applied.
In total, an ear surgery or otoplasty can treat the following defects:
- Macrotia or having large ears
- Protruding ears which may occur on one or both sides but not associated with hearing loss
- Adult dissatisfaction with previous ear surgery
The best candidates for otoplasty are children more than 5 years old as the cartilage is firm enough for reshaping. It is not recommended for children under the age of 5 because of high risk and also the ears have reached their full size.
Teenagers and adults are also good candidates for otoplasty if they do not have a life-threatening illness or medical conditions that can impair healing.
Yes. Otoplasty surgery is an outpatient surgery.
Otoplasty surgery, depending on the specifics and complexity, takes between 2 to 3 hours.
The otoplasty procedure can be performed under local or general anesthesia.
In otoplasty surgery, the skin will be removed and the cartilage will be reshaped from behind the ears. It is very important to know that no scars will be left as the incisions are made behind the ears.
There are three different types of otoplasty:
- Ear augmentation: if you have small ears or they haven’t developed properly, the surgeon will use ear augmentation to increase the size of auricles.
- Ear pinning: if you have protruding ears, this procedure will be used to draw the ears closer to the head.
- Ear reduction: if you have oversized or large ears, also referred as macrotia, so this procedure will be applied to reduce the size of ears.
The otoplasty can be performed by ENT surgeon.
Depending on the type of correction, you may need otoplasty, otoplasty + rhinoplasty, microtia surgery (grade 1, 2) and Microtia Surgery (Grade 2, 3)
In Otoplasty, the surgeon will reshape the pinna, or outer ear. It aims to correct a structural abnormality.
Yes. Otoplasty and rhinoplasty is an acceptable combination to perform simultaneously. In this technique your surgeon will correct the irregularity by reshaping the pinna (outer ear) and will use rhinoplasty to improve the appearance.
Microtia Surgery (each step) – Grade 1 & 2 is a technique to address both external ear deformity and inner ear canal deficiency will be addressed. The surgeon creates a new ear structure by using a patient’s own tissue and the otologist creates or corrects the ear canal to improve hearing.
Following the ear surgery, you will have a dressing over your ears for couple of days. So, you can’t wash your hair until the bandage is removed. It is recommended to wear a loose supportive headband at nights in order to reduce the tension from the ears.
Mostly you can resume your regular activities and exercise 2 weeks after the ear (otoplasty) surgery but it takes about 3 months to restart physical contact activities like judo, soccer and so on.
after the ear (otoplasty) surgery you need wait about 3 months to restart physical contact activities like judo, soccer and so on.
You need to wait at least 8 weeks after otoplasty (ear surgery) to start swimming.
Like any other major surgery, there are some complications for otoplasty such as bleeding, infection, and an adverse reaction to anesthesia. It’s also possible to have an allergic reaction to the surgical tape or other materials used during or after the procedure.
there are some side effects after the surgery listed as below:
- ears that feel sore, tender, or itchy
- numbness or tingling
Like any other surgery, otoplasty surgery in Iran is no exception and it has various risks including:
- Scars of surgery are permanent but they will be hidden behind your ears or within the creases of your ears.
- Asymmetry in-ear placement is a rare complication that may occur as a result of changes during the healing process.
- Sometimes, the repositioning of your ears can affect skin sensation in the area which is temporary.
- Stitches used to secure the ear’s new shape might work their way to the surface of the skin and need to be removed which causes inflammation of the affected skin. In that case, you might need additional surgery.
- Otoplasty can create unnatural contours that make ears appear to be pinned back.
there are some general guidelines which must be done before going through otoplasty. At first, you will meet a plastic surgeon to talk about otoplasty surgery and get advices. During your appointment, your plastic surgeon will ask you:
- Talk about your current and past medical conditions especially any ear infections and the medications you had taken or any surgery you’ve had. Then he will examine your ears such as size, shape and placement and take some pictures of your ears for medical record.
- You should discuss your expectations and why you want otoplasty and what you’re hoping for in terms of appearance after the procedure. You are also recommended to talk about the risks such as possible overcorrection.
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