Understanding Otoplasty

Probably no other physical characteristic cries out for facial plastic surgery more than protruding ears. Children, long the victims of cruel nicknames like "DUMBO" or "MICKEY MOUSE," are the most likely candidates for otoplasty, but this surgery can be performed at any age after the ears have reached full size, usually around five to six years of age. Even if the ears are only mildly distorted, the condition can lead to self-consciousness and poor adaptation to school. When it comes to otoplasty, conventional wisdom is the earlier the better once the cartilages are ready.

Adults may also benefit from this procedure, which improves self-esteem with relative ease. Often, adults choose this surgery in conjunction with other facial plastic surgical procedures. Frequently adults with protruding ears grow tired of limiting their hair styles to cover their ears. Not only is it possible to "pin back" ears, but ears can also be reshaped, reduced in size, or made more symmetrical.

If you are wondering how otoplasty can improve the way you look, you need to know how otoplasty is performed and what you can expect from this procedure. Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery. Dr. Sanders can answer specific questions about your specific needs.

Is Otoplasty for you?
General good health and realistic expectations are prerequisites. It is also important to understand the surgery. Otoplasty will not alter hearing ability. What is important for successful otoplasty is that the ears be in proportion to the size and shape of the face and head.

When considering otoplasty, parents must be confident that they have their child's best interests at heart. A positive attitude toward the surgery is an important factor in all facial plastic surgery, but it is especially critical when the patient is a child or adolescent.

Adult candidates for otoplasty should understand that the firmer cartilage of fully developed ears does not provide the same molding capacity as in children. A consultation with a facial plastic surgeon can help parents decide what is best for their child, not only aesthetically, but also pshychologically and physically. Timing is always an important consideration. Having the procedure at a young age is highly desirable in two respects: the cartilage is extrememly pliable, thereby permitting greater ease of shaping; and secondly, the child will experience psychological benefits from the cosmetic improvement.

Making the decision for Otoplasty
Your choice of a board certified facial plastic surgeon like Dr. Sanders is of paramount importance. During the consultation, he will examine the structure of the ears and discuss possibilities for correcting the problems. Even if only one ear needs "pinning back," surgery will probably be recommended on both ears to achieve the most natural, symmetrical appearance.

After you and Dr. Sanders decide that otoplasty is indicated, he will discuss the procedure. Typically, a general anesthesia is suggested on young patients and a local anesthetic combined with a mild sedative for older children and adults. The surgery requires approximately two hours.

Understanding the surgery
Surgery begins with an incision just behind the ear, in the natural fold where the ear is joined to the head. Dr. Sanders will then remove necessary amounts of cartilage and skin required to achieve the right effect. In some cases, he will trim the cartilage, shaping it into a more desirable form and then pull the cartilage back with permanent sutures to secure the cartilage. In other instances, no cartilage is removed and instead use sutures to hold the cartilage permanently in place. After sculpting the cartilage to the desired shape, the surgeon will apply sutures to anchor the ear until healing occurs to hold the ear in the desired position.

What to expect after surgery
Soft dressings applied to the ears will remain for a few days. Most patients experience some mild discomfort. If you are accustomed to sleeping on your side, your sleep patterns may be disrupted for a week or so because you cannot put any pressure on the ear areas. Headbands are recommended to hold the ears in the desiresd position for several weeks after the surgery.

The risks are minimal. Infection and blood clots must be watched for but are rare. There will be a thin white scar behind the ear after healing. Because this scar is in a natural crease behind the ear, the problem of visibility should be inconsequential.

For more information about Otoplasty visit the American Academy of Facial Plastic and Reconstructive Surgery website by clicking here.