Otoplasty

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Intro To Otoplasty

It is not a secret that oversized or protruding ears are a source of embarrassment and ridicule, especially for young children. If you or your child has this problem, otoplasty can be the right option to end the struggle and bring back harmony to facial appearance. Otoplasty, also known as cosmetic ear surgery or ear reshaping, is a surgical procedure to reshape or resize the ears by using permanent sutures. The surgery targets the outer ear or the auricle. According to the American Society of Plastic Surgeons, around 23,000 ear reshaping procedures were performed in the United States in 2018. Otoplasty has a variety of types, including ear augmentation, ear pinning, and ear reduction. Based on your needs, your surgeon will pick the right type for you.

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Benefits of Otoplasty

Otoplasty brings more balance and proportion to your ears and face. In sum, you will gain the following benefits if you decide to undergo this surgery:

Reduce the size or protrusion of your large ears and reposition them against the sides of your head.
Repair irregularities caused by accidents, acute trauma, or congenital ear abnormalities.
Give your ears a more natural form and get a more symmetrical face.
Fix stretched earlobes with large creases and wrinkles.
Restore self-confidence and avoid embarrassment or bullying.
Be like Hollywood celebrities, such as Ben Stiller and Brad Pitt, who supposedly underwent otoplasty before!

Candidates for Otoplasty

Obviously, you need to find a skilled surgeon who has performed otoplasty on many patients before, or you can contact a recognized clinic that offers such treatment. During your initial consultation, your doctor may do the following:

Review your medical history, current medications, and medical issues.
Examine the position, size, and shape of your ears. In addition, they may measure your ears and take clinical images.
Discuss your expectations and inform you of the risks and possible complications of the surgery.

Steps of Otoplasty

Surgeons usually perform otoplasty in outpatient facilities. Depending on the nature and complexity of the surgery, it may take between 1 to 3 hours. The steps of the surgery include:

1. Anesthesia

Both adults and older kids can receive a local anesthetic along with a sedative to prevent pain and discomfort. However, general anesthesia is the right option for many cases, especially for younger children.

2. Incisions Making

The length and nature of the surgical incision depend on the type of otoplasty you’re having. In general, otoplasty entails making an incision either inside the ear folds or on the back of the ear.

3. Ear Reshaping

Next, your surgeon starts removing some cartilage or skin and contouring the remaining cartilage by using permanent sutures. Sometimes, surgeons need to graft more cartilage to the ear.

4. Incision Closure

Finally, your surgeon seals the wounds with stitches and wraps a bandage around your head.

Recovery After Otoplasty

Here are some instructions and tips to follow during the recovery phase:

Don’t wash your hair until the bandage is removed. Also, try always to keep the site clean and dry.
Your doctor may allow you to use over-the-counter medications to alleviate any discomfort, such as ibuprofen or paracetamol.
You can wear a headband to keep your ears safe during sleep and try to choose a good sleeping position to prevent putting pressure on your ear.
Wear button-up shirts to avoid pulling your clothes over your head.
You may need to visit the doctor to remove your stitches. Some stitches, however, dissolve on their own.
Do not touch or scratch your ears.

Risks of Otoplasty

Otoplasty is generally a safe procedure, and most patients get the results they want. However, like any other surgery, ear reshaping carries potential risks and side effects, such as:

Anesthesia-related reactions
Bleeding or infection
Uneven or unnaturally shaped ears
Abnormal skin sensations
Suture extrusion
Visible scarring

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Otoplasty

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FAQ's

Candidates for Otoplasty

You’ll be a good candidate for otoplasty if you’re: In excellent health Having no major illnesses Having reasonable expectations Nonsmoker because smoking slows recovery Having a large, protruding ear or abnormally shaped ear due to injury, trauma, or birth defect.

Is otoplasty painful?

Both general and local anesthesia will prevent pain during surgery. You may feel a little tired afterward, but your doctor should prescribe some pain medication anyway.

What are the side effects of otoplasty?

– Ear pain – Itching – Skin redness – Bruising – Swelling – Scars behind or inside the ears – Numbness or tingling

Is it a safe procedure?

Otoplasty is safe as long it is performed by an experienced surgeon.

How effective is this procedure?

Otoplasty is an effective way to improve the shape or size of the ears. The results do not change with time.

What are the alternatives?

Modifying the ear shape without surgical intervention is possible. This may happen by using an ear splint, which is suitable for newborns up to 6 months only.