Facial Surgery
Ear Surgery (Otoplasty)
Correction of prominent or misshapen ears by reshaping the cartilage, with the incision hidden behind the ear.
Overview
Otoplasty corrects prominent or misshapen ears by reshaping the cartilage and setting the ear naturally closer to the side of the head.
It is performed in children once the ear approaches adult size, and in adults at any age.
Who May Benefit
- Children from around five or six years of age
- Adults with prominent ears
- Patients with clearly asymmetric ears
- Patients with residual prominence after previous ear surgery
Conditions Treated
- Prominent ears
- Absent antihelical fold
- Conchal excess
- Ear asymmetry
Diagnosis
The cartilage is examined to determine the cause of prominence — an absent natural fold, an enlarged conchal bowl, or both. Measurements are taken and both ears compared. In newborns, non-surgical ear moulding may help if started in the first weeks of life.
Treatment Planning
The technique is tailored to the cause of prominence. The appropriate age, and the child's ability to cooperate with aftercare, are discussed with the child and parents.
Surgical Overview
The incision is usually placed behind the ear, where it is hidden. The cartilage is reshaped with permanent sutures to create the natural fold, and the conchal bowl is reduced or set back when needed. Anaesthesia depends on age; children usually require general anaesthesia.
Recovery
A head dressing is worn for the first few days, followed by a night-time headband for several weeks. Mild pain and swelling are common. Children usually return to school within about a week, avoiding contact sports for longer.
Risks & Considerations
All surgery carries risk. Potential risks are discussed in detail during consultation, and may include:
- Haematoma requiring urgent treatment
- Infection
- Partial recurrence of prominence
- Over-correction or asymmetry
- Suture extrusion
- Altered sensation or a thickened scar behind the ear
Frequently Asked Questions
What is the best age for a child's ear surgery?
Usually from five to six years, when the ear is close to adult size, ideally before school-age teasing begins.
Will there be a visible scar?
The incision is behind the ear, so the scar is usually not visible from the front.
The information on this website is for general educational purposes and does not replace a consultation. Suitability for any procedure, and its potential benefits and risks, can only be determined following an individual clinical assessment. Individual results vary.
Related Procedures
- Congenital Craniofacial Deformity SurgerySurgical correction of clefts, congenital facial asymmetry and craniofacial deformities, delivered in stages with a multidisciplinary team.
- Scar RevisionImproving the appearance of facial scars from injuries or previous surgery, making them less noticeable and more in keeping with the face.
Discuss your options with Dr. Bakri
A consultation is the first step toward an accurate diagnosis and an individual plan.