Why are prominent ears a problem?

Prominent ears can have significant psychological effects. Most chrildren become self-aware around age 5 or 6.  Other children also start to tease at this age.  Adults undergoing otoplasty often relate their experience with teasing concerning their prominent ears as children.

What causes prominent ears? 

Failure of the upper fold of the ear (the anti-helical fold) to form completely is probably the most common cause.  This results in protrusion of the upper 1/3 of the ear.  Over-growth of the “bowl” (concha) of the ear may occur as well.  

What is an otoplasty?

Also known as “ear pinning”, it is a surgical procedure to correct prominent ears.   It is generally an uncomplicated cosmetic procedure.  Different types of otoplasty can also be performed for ears damaged by trauma or congenital deformities.

How old should a child be at the time of surgery?

Children are usually mature enough to particpate in the surgerical experience by age 6.  The ears have also reached most of their adult size at that age.  As discussed above, teasing becomes an issue then as well.   Considering input from the child is an important part of the treatment process.

Can adults have this surgery?

 Absolutely.

What happens during the surgery?

Children typically require general anesthesia, while adults can usually have surgery with local anesthesia, with or without sedation. The ear cartilage is molded with a variety of techniques through an incision made behind the ear. Dissolvable sutures are usually used, and the scar is hidden behind the ear. Surgery generally takes 2-3 hours.  However,  every case is different and individualized care is always provided to every patient.

What will happen after the surgery?

A short stay in the recovery room follows surgery, and then patients can go home soon therafater. A soft, bulky dressing is placed in surgery and is removed the following day, when a lighter dressing is then placed. An elastic headband is worn for a few weeks after the dressings come off.   Swelling and bruising are usually mild and resolve in a few days.  Patients can go back to work or school usually within a week.