Otoplasty

The cartilaginous skeleton of the ear is the foundation for the ear’s overall appearance. There may be several components that cause the ears to protrude: excess cartilage within the inner part of the ear (ear base) – the concha, and/or deficiency of cartilage curvature (abnormal development) – the anti-helix. During the surgery, excess cartilage is removed if indicated, and the remaining cartilaginous framework is redesigned to resemble a complete and normal ear. All this is achieved by a small and inconspicuous incision behind the ear. The surgery itself may be performed under local anesthesia in adults, or general anesthesia in children. Duration of surgery is approximately one and a half hours for both ears. This is a relatively simple procedure with a fast recovery period. In most cases, overnight hospitalization is not necessary. The ear reaches approximately 80% of its final size at ages 6-7, and therefore ear repair can be performed from this age and older without deleterious effects on normal ear growth. It is recommended that surgery be considered once the patient notices the defect in him or herself. Any older population benefits just as well from such surgery.
More prominent and more principled in the presence of short hair or braided hair
In order to achieve this harmony, careful and precise planning must be carried out between the earpiece and the rest of the interior.

Ear Surgeries

During the pre-surgical consultation the ears are fully examined. Any asymmetry between the ears is evaluated, as well as causes for protrusion. It must be noted that some asymmetry always exists between the ears, even when the ears are completely normal. In this surgery, asymmetry can be improved, but complete symmetry is hard to achieve, even at the hands of the most proficient surgeon. During the consultation, the realistic goals of the surgery will be discussed.

Recovery from Ear Surgeries

Recovery from the surgery is short. The initial healing period is can be accompanied by local tenderness, swelling and edema, and transient skin bruising that disappears within a few weeks.

After surgery

Surgery for pinning back of the ears entails minor excision of overlying skin. Through this excision there direct access to the cartilaginous skeleton of the ear, and as such it is possible to resourcefully manipulate the cartilage to achieve fine results. At the end of surgery the initial incision is closed, usually with absorbable sutures that obviates the need for their removal. The area is then bandaged in a “helmet” manner for a number of days. During the first follow up visit in the clinic, the bandages are removed, after which the treated area is wrapped with a protective sweatband for two weeks. It is recommended that one not lean on the area for the first few weeks. Washing the head in the shower is recommended after three days from surgery for the first time. The ear achieves its final shape after several months, once the swelling and local edema has passed. Efficacy of the surgery is indefinite. In some rare cases, recurrence of protrusion occurs, in which case the need for an additional surgery is indicated.

Complications of the surgery are rare, and include:

Bleeding that may require draining in an operating room setting
Local infection that is usually treated conservatively
Hypertrophic or Keloid scarring (depending on family genetics)
Asymmetry
Necessity for an additional surgery
Temporary or permanent numbness of ear
More information regarding the surgery will be made available upon consultation.
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