Probably no other physical characteristic cries out for facial plastic surgery more than protruding ears. Children who have been victims of cruel nicknames like "Dumbo" or "Mickey Mouse" are the most likely candidates for otoplasty. 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 ears have reached full size at around five to six years of age, this surgery can be performed. Having the procedure at a young age is highly desirable in two respects: the cartilage is extremely pliable, thereby permitting greater ease of shaping, and secondly, the child will experience psychological benefits from the cosmetic improvement. 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. When considering otoplasty, parents can be confident that they have their child's best interests at heart. Consultation with our facial plastic surgeon can help parents decide what is best for their child, not only aesthetically, but also psychologically and physically.
And let’s not forget the adults as it is never too late to consider otoplasty. An adult has probably already experienced a lifetime of self consciousness due to shame or ridicule, and once surgery is completed, gains new confidence and self esteem. However, adult candidates for otoplasty should understand that the firmer cartilage of fully developed ears may not provide the same molding capacity as in children.
Make the Decision
During the consultation, your surgeon will examine the structure of the ears and discuss possibilities for correcting the problems. The key to a successful otoplasty is that the ears are in proportion to the size and shape of the face and head. Although no two ears are totally symmetrical, surgery will probably be recommended on both ears to achieve the most natural appearance. Following a thorough medical history, your surgeon will explain the kind of anesthesia required, surgical facility, and costs. Typically, your surgeon will suggest a general anesthesia for young patients and a local anesthetic combined with sedation for older children and adults. Under normal conditions, otoplasty requires approximately two hours for completion.
Understanding the Surgery
Surgery begins with an incision just behind the ear in the natural fold where the ear is joined to the head. The surgeon will then remove or trim the necessary amounts of cartilage and skin required for the right effect. In other instances, the surgeon will not remove any cartilage but rather reshape the ear and will use sutures to secure the cartilage permanently in place. After reshaping the cartilage, the surgeon will apply sutures to anchor the ear until healing occurs to hold the ear in the desired position.
What to Expect After the Surgery
Compression dressings applied to the ears will remain in place for two days. Once compression bandages are removed, headbands or sports bands are required to hold the ears in the desired position for several weeks after the surgery. Most patients experience some mild discomfort easily managed with medications. Ears will and look thick, or “doughy”, for 4-6 weeks during the healing process. There will be a thin white scar behind the ear after healing.
Keep all post operative appointments as scheduled. Anything unusual should be reported to your doctor immediately.