Ear Shaping (Otoplasty)

Children, long the victims of cruel nicknames like "Dumbo" or "Mickey Mouse," are the most likely candidates for otoplasty, but this surgery can be performed at any age after the ears have reached full size, usually around five to six years of age. 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". Adults may also benefit from this procedure, which improves self-esteem with relative ease.

Is Otoplasty For You?

Otoplasty will not alter hearing ability. What is important for successful otoplasty is that the ears be in proportion to the size and shape of the face and head. When considering otoplasty, parents must be confident that they have their child's best interests at heart. 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.

A consultation with a facial plastic surgeon can help parents decide what is best for their child, not only aesthetically, but also psychologically and physically. Timing is always an important consideration. 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.

Making The Decision For Otoplasty

During your consultation, Dr. Majmundar will examine the structure of the ears and discuss possibilities for correcting the problems. Even if only one ear needs "pinning back," surgery will probably be recommended on both ears to achieve the most natural, symmetrical appearance.

Following a thorough medical history, Dr. Majmundar will explain the kind of anesthesia required, surgical facility, and costs. Typically, he will suggest a general anesthesia for young patients and a local anesthetic combined with a mild sedative for older children and adults.

Understanding The Surgery

Surgery begins with an incision behind the ear in the natural fold where the ear joins the head. The necessary amounts of cartilage and skin required to achieve the right effect are removed. In some cases, the cartilage will be trimmed and shaped into a more desirable form and then pinned back with permanent sutures.

What To Expect After The Surgery

Soft dressings applied to the ears will remain for 24 hours. You will be asked to wear a head band at night to allow the ears to heal properly for 7-10 days. Most patients experience some mild discomfort. If you are accustomed to sleeping on your side, your sleep patterns may be disrupted for 10-14 days because you must sleep on your back and cannot put any pressure on the ears. (TOP)