Otoplasty (Ear Surgery)
Ear surgery, or otoplasty, reshapes and/or repositions the ears for children or adults who feel self-conscious about the size, shape, or position of their ears. An experienced, board-certified facial cosmetic surgeon can perform this operation with precision, helping to balance your ears with your other facial features.
What is otoplasty?
Otoplasty is a cosmetic surgery procedure that alters the shape, size, and/or position of the ears with a customized surgical plan. Most otoplasties involve incisions placed behind the ears to sculpt the cartilage, reposition the ears closer to the head, or reduce their size. Ear pinning is a type of otoplasty surgery.
What does otoplasty treat?
Ear surgery is used to correct a variety of ear conditions, such as:
- Large or prominent ears
- Protruding ears on one or both sides
- Previous ear surgery correction
- Ear shape irregularities due to trauma or injury
Good candidates
To be a good candidate for otoplasty, you should be a non-smoker in good health who is motivated to see an adjustment in ear contours, with realistic expectations about the outcome of the procedure. Children may be able to undergo otoplasty beginning around age five.
The otoplasty procedure
Before otoplasty, you will be administered anesthesia to keep you comfortable during surgery—either local, IV sedation, or general anesthesia. Your surgeon will create incisions in the back of the ears, reshape the cartilage, reposition ears closer to the head, and close incisions with sutures. In some cases, your surgeon may make incisions in the front of the ears, but these are typically made within the folds to hide any scars.
- Key Benefits
- Glossary
- Improved shape, position, or proportion of the ears
- Restore ear symmetry
- Enhanced facial harmony and balance
- Boost self-confidence
- Long-lasting and immediate results
Otoplasty: Surgical procedure designed to alter the shape, position, and/or size of the external ears.
Protruding Ears: Ears that stick out from the side of the head more than normal.
Cartilage: Firm but flexible tissue that provides structure for the ears and other body parts.
Anthelix: Inner ridge of cartilage in the ear, which runs parallel to the helix.
Helix: Outer rim or edge of the ear.
Pinna: The visible part of the ear that resides outside of the head, also known as the auricle. It collects sound and directs it into the ear canal.
Auricle: Another term for the pinna. It is the external portion of the ear that collects sound waves and directs them into the ear canal. The term “auricle” is used more often in clinical or scientific contexts.
Incision: Surgical cut made in the skin during a procedure.
Suture: Stitches used to hold skin and tissue together after an incision or injury.
Non-absorbable sutures: Sutures that are not broken down by the body and need to be removed by a doctor.
Absorbable sutures: Sutures that are slowly broken down and absorbed by the body, so they do not need to be removed.
General Anesthesia: Medication administered to induce unconsciousness during surgery.
Local Anesthesia: Medication used to numb a specific area of the body.
Postoperative Care: Care provided after a surgical procedure, including wound care, pain management, and recovery monitoring.
Conchal Bowl: The deep, central part of the external ear leading into the ear canal.
Macrotia: A condition characterized by overly large ears.
Cryotia: A rare condition characterized by small, underdeveloped, and unusually shaped ears.
Anesthesia-related complications: Potential problems related to the use of anesthesia, such as allergic reactions, breathing difficulties, or changes in blood pressure.
Recovery period: The time it takes for a patient to heal and return to normal activities after surgery.
Scarring: The process by which wounds heal, resulting in a change in skin texture and appearance. In some cases, this can be a side effect of surgery.
Post-surgical complications: Potential problems that can occur after surgery, such as infection, excessive bleeding, or issues related to anesthesia.
Consultation for otoplasty
During your consultation, expect your surgeon to evaluate your health and any pre-existing health conditions or risk factors you have. They will physically examine your ears and will likely take photographs for your medical records. You will have the chance to ask about your options, look at before and after images of the surgeon’s other patients, and learn what your surgeon recommends to help you achieve the goals you have for your appearance. This conversation should also cover likely outcomes and potential risks so that you can make an informed decision about proceeding with surgery.
Preparing for your ear surgery
Expect your surgeon to provide detailed pre-operative instructions, with a thorough explanation of recovery restrictions. You may need to stop taking certain medications or adjust your current medications before surgery, and refrain from smoking or using any nicotine products, which can interfere with the healing process. Do not eat or drink anything after midnight the night before your surgery unless your surgeon tells you otherwise.
Risks and potential complications of otoplasty
There are risks associated with ear pinning surgery, just as there are with any cosmetic procedure. Risks include infection, bleeding, asymmetries, visible scarring, or changes in skin sensation.
Recovery and results
Your ears will be bandaged for protection and support after surgery. Your surgeon will give you specific instructions on how to care for your ears, which medications to apply topically or take orally, and when to follow up. A soft headband or a dressing may need to be worn for a few weeks to keep your ears in their new position.
You will likely experience some discomfort, but this can be managed with prescribed pain medication. It’s essential to keep your head elevated as much as possible to minimize swelling. Closely follow your surgeon’s instructions as far as restrictions on contact sports, heavy lifting, and strenuous activities. Avoid any activities that could result in trauma to the ears.
The results of otoplasty are typically long-lasting. Incisions for otoplasty are usually made behind the ears or within the natural creases of the ears, making them virtually invisible over time, as any visible scarring will fade to blend in with the surrounding skin.
Cost of otoplasty
The cost of otoplasty will likely vary widely depending on the specifics of your surgical plan and the average costs in the area where you live. Cosmetic surgeons provide patients with personalized estimates after their consultation so that you can make a decision based on the unique costs associated with your procedure plan. Many surgeons offer financing options and payment plans for procedures not covered by insurance through partnership with medical financing companies.
Frequently Asked Questions
Can I have otoplasty on just one ear?
Yes, it’s possible to have otoplasty on just one ear if that ear is protruding significantly more or if it has a different shape compared to the other. The aim is always to create balance and symmetry, so the surgeon will evaluate your individual case and suggest the best approach.
Is otoplasty covered by insurance?
Coverage for otoplasty depends on your health insurance provider and your specific procedure plan. In general, if the surgery is considered cosmetic — that is, performed to enhance appearance — it’s less likely to be covered. However, if the procedure is deemed medically necessary, such as when the shape or position of the ears causes physical discomfort or hearing issues, insurance may cover it. Always check with your insurance provider to understand what is covered under your plan.
What is the ideal age for otoplasty?
Otoplasty can be performed on patients of almost any age, but it’s most commonly done on children between the ages of 5 and 14. By age 5, the ear is usually close to its adult size, and having the procedure at a young age can potentially prevent school-age teasing. However, many adults also undergo otoplasty, and there is no upper age limit for the procedure.
Can I drive home after surgery?
No, you should not plan on driving yourself home after an otoplasty. You will have been under anesthesia, and it may take several hours for its effects to wear off. You’ll need a friend, family member, or other trusted person to take you home.
Is otoplasty considered to be a minor surgery?
Otoplasty is often considered minor compared to more invasive procedures, but any surgery carries potential risks and should be taken seriously. The procedure is typically performed on an outpatient basis, meaning you can go home the same day, and the recovery process is usually straightforward.
Is otoplasty the same as ear pinning?
Yes, otoplasty is often referred to as “ear pinning.” However, while the procedure can aim to bring the ears closer to the head, it can also involve reshaping the ears or reducing their size.
How do you sleep after otoplasty?
After otoplasty, you will likely need to sleep on your back with your head elevated (avoid placing pressure on your ears). This helps to minimize swelling. Some doctors may suggest using a travel or neck pillow to help keep your head in proper position.
Does otoplasty look unnatural?
A well-performed otoplasty should result in a natural look. The aim of the procedure is to achieve a balance and proportion with your other facial features. However, the outcome can depend on the skill and experience of the surgeon, so be sure to choose a reputable professional for your procedure.
Will my ears stick out again after otoplasty?
It’s very uncommon for ears to return to their pre-surgery position after otoplasty. However, in some rare cases, this might occur due to the natural elasticity of ear cartilage, especially if aftercare instructions are not followed properly. Discuss any concerns with your surgeon to ensure you understand the procedure and its aftercare thoroughly.
How long after otoplasty can you wear earrings?
The timeline can vary, but generally, you should wait until your ears are completely healed before wearing earrings again. This usually takes at least 6 weeks. It’s crucial to avoid any potential sources of infection while your ears are healing, so be sure to keep them clean and avoid earrings or contact with other foreign objects. Always consult your surgeon for advice tailored to your specific case.
References
Schneider AL, Sidle DM. Cosmetic Otoplasty. Facial Plastic Surgery Clinics of North America. 2018 Feb;26(1):19-29. doi: 10.1016/j.fsc.2017.09.004.
Siegert R, Magritz R. Otoplasty and Auricular Reconstruction. Facial Plastic Surgery & Aesthetic Medicine. 2019 Aug;35(4):377-386. doi: 10.1055/s-0039-1693745.
Sands NB, Adamson PA. Pediatric esthetic otoplasty. Facial Plastic Surgery Clinics of North America. 2014 Nov;22(4):611-21. doi: 10.1016/j.fsc.2014.07.008.
Hoshal SG, Morisada MV, Tollefson TT. Reducing Surgical Risks for Otoplasty. Facial Plastic Surgery Clinics of North America. 2023 May;31(2):253-261. doi: 10.1016/j.fsc.2023.01.011.
Ordon A, Wolfswinkel E, Shauly O, Gould DJ. Aesthetic Otoplasty: Principles, Techniques and an Integrated Approach to Patient-Centric Outcomes. Aesthetic Plastic Surgery. 2019 Oct;43(5):1214-1225. doi: 10.1007/s00266-019-01441-2.
Handler EB, Song T, Shih C. Complications of otoplasty. Facial Plastic Surgery Clinics of North America. 2013 Nov;21(4):653-62. doi: 10.1016/j.fsc.2013.08.001.
Benedict M. Minimally Invasive Otoplasty. Facial Plastic Surgery & Aesthetic Medicine. 2023 May-Jun;25(3):264-266. doi: 10.1089/fpsam.2022.0261.
Stewart KJ, Lancerotto L. Surgical Otoplasty: An Evidence-Based Approach to Prominent Ears Correction. Facial Plastic Surgery Clinics of North America. 2018 Feb;26(1):9-18. doi: 10.1016/j.fsc.2017.09.002.
Choosing a board-certified facial cosmetic surgeon for your otoplasty means that your surgeon has extensive training and experience in facial procedures and has undergone a rigorous review process along with ongoing certification maintenance. If you’re considering aesthetic surgery, consult with an experienced face specialist certified by the American Board of Facial Cosmetic Surgery, and learn how ear surgery can help you achieve a balanced and harmonious appearance.