Otoplasty
Otoplasty, also known as pinnaplasty or ear correction, involves adjusting the
shape of the cartilage of the ear. This allows folds to be created which make
the ear lie close to the side of the head.
It is estimated that up to two percent of the population consider that their
ears stick out too much. Often, it is clear that this trait has been inherited.
Whilst prominent ears usually occur on both sides, occasionally the problem may
affect only one ear.
Who is suitable for Otoplasty?
If the problem is spotted shortly after birth, then it is possible to treat the
condition conservatively, merely by applying the appropriate splint.
However, within a few months, the cartilage of the ear has become considerably
more stiff, and the splint may have to be in place for many months, and even
then may not be successful.
Generally, by the age of six months, the only option is surgical correction.
What to think about at this stage
Most Surgeons recommend waiting until after about five years of age to
correct prominent ears.
Many parents are keen to have the correction done as early as possible, fearing
that their child will be stigmatised at school. However, it is often wiser to
wait until the child, him or herself mentions the problem.
How is Otoplasty performed?
- In adults, the operation is usually performed under either local anaesthetic
alone, or local anaesthetic with sedation.
- In children, general anaesthetic is usually administered.
- An incision is made behind the ear, in the groove between the ear and the side
of the head. This leaves a well hidden scar.
- If the lobe of the ear is also large, then it is possible to reduce its size at
the same operation.
- It takes about forty five minutes
- Many patients go home the same day. Some patients may stay in hospital for one
night.
- If your work is not physical, expect to return to work within one week
- Expect to be back to normal physical exercise within two to four weeks
Following the operation
As with all surgery, you must expect to feel bruised and sore immediately
afterwards. Simple paracetamol is usually all that is required.
Most patients experience that their ears are tender for several weeks following
surgery. A small dressing is usually worn for about five days, at which time
sutures are removed as necessary.
Once the dressing has been discarded, it is wise to wear a protective head-band
or bandage when sleeping to avoid the ears being bent forward against the
pillow, this is usually worn for two to three weeks.
Risks & Complications
Cosmetic surgery is amongst the very safest of medical procedures. However, all
patients must understand and accept that no surgical procedure is absolutely
free from risk.
At Consultation, Mr Malik will discuss these risks with you.
How long will the results of your Otoplasty last?
For the great majority of patients, the results of their otoplasty are
permanent. There is a small group of patients who may require a minor adjustment
to their surgery.