Otoplasty is an intervention frequently requested by adolescents and even children due to the psychological and social problems caused by this deformity. Depending on the age of the patient to be treated, the intervention can be performed under general or local anaesthesia. The incision is usually made behind the ear, leaving an almost invisible scar. With this incision, the ear cartilage is reshaped, folded in the appropriate places and the sutured skin takes the shape of an ellipse. A bandage is placed to shape the ears so that they heal in the correct position after Otoplasty. After a week, the stitches are removed and an elastic band is worn for two weeks to prevent the ears from tipping forward during sleep. The result of the operation is permanent. Retouching is rarely necessary and complications, whether skin or cartilage, are rare.

Who is the Ideal Candidate for Otoplasty?

Most plastic surgeons recommend that parents observe the child’s behaviour regarding prominent otoplasty can be stressful unless the child wants it. Children who are dissatisfied with their ears and want to have surgery for ear aesthetics cooperate more during the intervention and are happier with the result. Many patients, children or adults, may be unsure of the outcome of their otoplasty. Do not think that the improvement will be absolutely perfect. Do not expect complete symmetry with ear aesthetics. If you discuss the procedure, your expectations and options with your plastic surgeon, the results will be very satisfactory. At the initial consultation, the plastic surgeon will assess the problem and recommend the most effective technique for your situation. For otoplasty, he or she will also give you instructions to prepare for the surgery.

Where is Otoplasty Performed?

Otoplasty is performed in the operating theatre, clinic or hospital. Depending on the type of otoplasty anaesthesia, the procedure is performed on an outpatient basis or you may also stay in the hospital on the night of surgery. Anaesthesia in ear aesthetic procedure; if the child is small, the plastic surgeon will recommend that the intervention be performed under general anaesthesia. For older children and adults, local anaesthesia will be used to keep you awake and comfortable during surgery.

Is Ear Reduction Possible?

Yes, it is possible to reduce the size of the ear. The operation usually takes 2 to 3 hours, but in complex cases it may take longer. The technique used will depend on the type of ear. Usually a small incision is made behind the ear to expose the cartilage in the ear. The cartilage is then shaped and folded; internal sutures may be used to maintain the new shape. Sometimes it may be necessary to remove some of the cartilage to achieve a more natural ear. Finally, a piece of skin is removed from behind the ear. The scar from the otoplasty is hidden behind the ear. The incision and surgical techniques heal within hours after surgery in most patients, children and adults, but you may be advised to spend the night in the clinic until the effects of the general anaesthetic wear off. A bandage is placed around the head as soon as the surgery is finished. The ears may be a little sore for the first few days of prominent ear correction, but the pain is easily relieved with medication. After a few days, the bandage is replaced with a lighter bandage similar to a headband. It is important to follow your plastic surgeon’s instructions regarding the use of bandages, especially at night. Any activity that may fold the ears should be avoided for the first month. Most adults return to work 5 days after surgery; children return to school in about 7 days as long as they pay attention to physical activities.

In Which Cases Ear Aesthetics is Performed?

Otoplasty is an operation to restore prominent or “swollen” ears to a more normal position, closer to the head, or to reduce the size of large ears. It is usually performed in children aged 4-14 years. By the age of 4, the ears are almost fully developed, so the earlier the surgery is performed, the less likely the child will be ridiculed at school. Otoplasty can also be performed in older adults without major risks. If you or your child are considering ear surgery, you can learn the basics of otoplasty surgery, when it is performed, how it is performed and what results can be expected. However, it is not possible to answer all your questions, as much depends on personal factors and the plastic surgeon’s preferences. It is recommended that you consult your plastic surgeon where you do not understand.

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