Otoplasty – Protruding Ears
Otoplasty is a surgical procedure that improves the shape, size, or position of the ear relative to the head. This procedure can address congenital defects noticeable during development or correct changes caused by trauma, burns, oncological surgeries, and earlobe piercing issues.
The most common issue is protruding ears, also called “bat ears.” This deformity affects approximately 5% of the global population and is associated with the ear’s auricle. The primary cause is the absence or underdevelopment of the antihelix fold. Abnormal ear cartilage development and shaping are often due to genetic factors.
With otoplasty, the missing antihelix can be reshaped so the auricles no longer protrude abnormally and achieve a natural shape. The procedure can also address other ear issues, such as those related to the earlobe, helix, and other areas of the ear.
Importance for the Child’s Psychology
Otoplasty is especially significant in childhood, as children may experience psychological distress due to bullying or feelings of discomfort related to their appearance. The procedure is recommended for children from the age of 5, as by this time approximately 80% of ear development has been completed.
Preparation – The Valuable Role of Proper Information
Preparation for otoplasty involves a thorough information and consultation process. The plastic surgeon will review the patient’s medical history, carry out necessary measurements, and request certain tests such as bloodwork, ECG, biochemical studies, chest X-ray, and coagulation studies. It is also vital to be honest about any smoking habits or medication use, as these can affect recovery and the outcome of the surgery.
Ideal Candidates for Otoplasty
- Those dissatisfied with the appearance of their ears.
- Individuals over the age of 5, when ear cartilage is developed enough for surgery.
- Children who can understand and follow recovery instructions.
- People with no medical conditions that could interfere with healing or make them ineligible for surgery.
- Those with realistic expectations about the results of the procedure.
Important Notes
- Inform your surgeon about any medication, vitamin, or herbal supplements you take, especially if they affect blood clotting, such as aspirin or anticoagulant medications.
- Stop smoking at least 2 weeks before and after surgery, as smoking can impede healing and increase the risk of complications.
- Follow all preoperative instructions regarding dietary restrictions, alcohol, and medications.
- Maintain open communication with your surgeon about your expectations and desired outcomes. Understanding the process, techniques, and potential results will help you feel satisfied with the procedure and its outcomes.
The Procedure
Otoplasty is typically performed under local anesthesia. In children, general anesthesia may be required. The goal is to correct protruding ears using techniques that reshape the ear. Incisions are made mainly behind the ear, and the sutures used are discreet and non-removable. The procedure lasts approximately 30–45 minutes per ear. Patients generally do not require an overnight stay and can return to their daily activities after 1–2 days. Mild discomfort is expected for the first two or three days, managed with pain medications. Patients may also experience a temporary numb sensation due to the dressing applied after surgery.
Postoperative Instructions
Postoperative care is vital for the success of the procedure and a quick recovery. Follow these instructions closely to ensure the best results and a speedy return to daily life:
- Initially, gauzes will be placed to secure the ears. A band-style dressing (“headband”) will be worn at night for approximately three weeks. You will be given instructions for caring for the incisions and any required medications.
- Avoid exercise, lifting heavy objects, and vigorous activity for at least 1–2 weeks to prevent pressure on the ears and surgical area.
Complications
Otoplasty is not associated with significant complications and is highly successful in the vast majority of cases. Potential complications can include:
- Bleeding
- Risk of infection
- Inflammation
- Minor asymmetries
- Noticeable scarring
- Temporary loss of sensation in the area
In any case, complications are rare and can be completely avoided when performed by a qualified plastic surgeon. Do not hesitate to contact Plastic, Reconstructive, and Aesthetic Surgeon Dr. Daskalakis for any questions about protruding ears or any other plastic surgery concerns you may have.
References
- Kepekçi AH., et al. Comparative Analysis of Mustardé, Fascioperichondrial Flap, and Combined Otoplasty Techniques: Clinical Outcomes and Recurrence Rates in 365 Patients. Healthcare. 2025
https://doi.org/10.3390/healthcare13111325 - Bulstrode NW., Ronde EM., Mazeed AS. Further Refinements in Otoplasty Surgery: A Modified Approach to Prevent Suture Extrusion in Cartilage-Suturing Otoplasty Using a Postauricular Dermofascial Flap. Plast Reconstr Surg. 2024;154(6):1191e–1199e.
https://pubmed.ncbi.nlm.nih.gov/38954644/ - Gilron S. Cartilage-sparing otoplasty: 288 ears in 3 years. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2024
https://www.sciencedirect.com/science/article/abs/pii/S1748681524005886
