Otoplasty — also known as cosmetic ear surgery — is a procedure to change the shape, position or size of the ears.
You might choose to have otoplasty if you’re bothered by how far your ears stick out from your head. You might also consider otoplasty if your ear or ears are misshapen due to an injury or birth defect.
Otoplasty can be done at any age after the ears have reached their full size — usually after age 5 — through adulthood. In some cases, the surgery is done as early as age 3.
If a child is born with prominent ears and certain other ear-shape problems, splinting may successfully correct these issues if started immediately after birth.
Why it's done
You might consider otoplasty if:
- Your ear or ears stick out too far from your head
- Your ears are large in proportion to your head
- You’re dissatisfied with a previous ear surgery
Otoplasty is typically done on both ears to optimize symmetry. Otoplasty can be done at any age after the ears have reached their full size — usually after age 5. Otoplasty won’t change the location of your ears or alter your ability to hear.
How you prepare
A consultation for otoplasty
Initially, you’ll talk to a plastic surgeon about otoplasty. During your first visit, your plastic surgeon will likely:
- Review your medical history. Be prepared to answer questions about current and past medical conditions, especially any ear infections. Talk about any medications you’re taking or you’ve taken recently, as well as any surgeries you’ve had.
- Do a physical exam. To determine your treatment options, the doctor will examine your ears — including their placement, size, shape and symmetry. The doctor might also take pictures of your ears for your medical record.
- Discuss your expectations. Explain why you want otoplasty and what you’re hoping for in terms of appearance after the procedure. Make sure you understand the risks, such as possible overcorrection.
If you’re a good candidate for otoplasty, your doctor may recommend that you take some steps to prepare beforehand.
Food and medications
You’ll likely need to avoid aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.
Smoking decreases blood flow in the skin and can slow the healing process. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
Also, be sure to make plans for someone to drive you home after surgery and stay with you for the first night of your recovery.
What you can expect
Before the procedure: Otoplasty can be done in a hospital or an outpatient surgical facility.
Sometimes the procedure is done with sedation and local anesthesia, which numbs only part of your body. In other cases, general anesthesia — which renders you unconscious — may be given before your procedure.
During the procedure: Otoplasty techniques vary based on what kind of correction is needed. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars. Your doctor might make incisions:
- On the backs of your ears
- Within the inner creases of your ears
After making incisions, your doctor might remove excess cartilage and skin. He or she will then fold the cartilage into the proper position and secure it with internal stitches. Additional stitches will be used to close the incisions. The procedure typically takes about two hours.
After the procedure: After otoplasty, your ears will be covered in bandages for protection and support.
You’ll likely feel some discomfort and itching. Take pain medication as recommended by your doctor. If you take pain medication and your discomfort increases, contact your doctor immediately.
To keep pressure off your ears, avoid sleeping on your side. Also try not to rub or place excessive force on the incisions. Consider wearing button-down shirts or shirts with loosefitting collars.
A few days after otoplasty, your doctor will remove your bandages. Your ears will likely be swollen and red. You’ll need to wear a loose headband that covers your ears at night for two to six weeks. This will help keep you from pulling your ears forward when rolling over in bed.
Talk to your doctor about when — or if — your stitches will be removed. Some stitches dissolve on their own. Others must be removed in the doctor’s office in the weeks after the procedure.
Ask your doctor when it’s OK to resume daily activities, such as bathing and physical activity.
After your bandages are removed, you’ll notice an immediate change in the appearance of your ears. These changes are permanent. If you’re not satisfied with your results, check with your surgeon about the possibility of revision surgery.