Otoplasty
Otoplasty is a surgical procedure that corrects prominent ears and irregularities of the ear cartilage, so that the ears sit closer to the head and look in proportion with the face.
Overview
Prominent ears are usually present from birth: an underdeveloped fold of the ear (antihelix) or a deep ear bowl makes the ears stand away from the head.
In otoplasty, the cartilage is reshaped through an incision behind the ear and the ear is set closer to the head. Because the scar lies behind the ear, it cannot be seen from the outside.
The procedure can be performed on both children and adults. Which technique is right is decided at the consultation according to the structure of the ear.
- A scar behind the ear that cannot be seen from the outside
- Planning suited to both children and adults
- A personalised technique chosen for the structure of your ears
- Structured follow-up and recovery care
What Is Otoplasty?
Otoplasty is a surgical procedure that corrects the size, shape or position of the ears relative to the head. It is most often performed to correct prominent ears; differences between the two ears and irregularities of the earlobe can be corrected in the same operation.
Prominent ears are not a health problem, but they can affect self-confidence, particularly in childhood and adolescence.
Who Is Otoplasty Suitable For?
- Children and adults whose ears stand noticeably away from the head
- People with a clear difference in shape or position between the two ears
- People with an underdeveloped ear fold or a deep ear bowl
- People who are unhappy with the result of a previous ear operation
At what age can children have it?
The ear reaches most of its adult size at around the age of 5–6. The operation is therefore usually planned after this age, often before the child starts school. It is also important that the child is ready for the operation and able to follow the aftercare rules.
How Is Otoplasty Performed?
In adults the operation is usually performed under local anaesthesia with sedation, and in children under general anaesthesia. It generally takes 1–2 hours.
Creating the ear fold
An underdeveloped ear fold is recreated with permanent stitches placed in the cartilage or by thinning the surface of the cartilage.
Setting back the ear bowl
If the ear bowl is deep, a small piece of cartilage can be removed, or the bowl is fixed closer to the head with stitches. At the end of the operation, the incision behind the ear is closed and a dressing is applied.
Preparing for Otoplasty
- Tell your physician about all medicines, supplements and previous operations
- Medicines and supplements with a blood-thinning effect are stopped for the recommended period beforehand, with your physician's knowledge
- For children, the reason for the operation is explained in words suited to their age
- A soft headband that covers the ears is bought in advance for use after surgery
- For patients travelling from out of town, accommodation is planned until the first check-up
Otoplasty Recovery Timeline
The timeline below is a general guide; healing speed varies with the person and the technique used.
- First days: The ears are protected under a dressing; mild pain and swelling are managed with the medication your physician recommends
- Week 1: The dressing is removed at the check-up; most people return to school or work
- Weeks 1–6: The headband is worn day and night at first, then at night for as long as your physician advises
- After week 6: Contact sports are resumed with your physician’s approval
Possible Risks and Side Effects
Otoplasty is generally a safe procedure, but like any surgery it carries risks:
- Slight differences between the two ears
- The ear partly returning to its former position over time
- Overcorrection, making the ear look too flat against the head
- Bleeding, infection or a noticeable scar behind the ear
- Temporary numbness in the ear
Are the Results Permanent?
The result of otoplasty is permanent. The ear cartilage adapts to its new shape in the weeks after surgery, so wearing the headband consistently during this period is important for keeping the result.
Factors That Affect the Cost of Otoplasty
The cost of otoplasty is calculated individually, based on the plan agreed at the consultation. The main factors are:
- Whether one or both ears are operated on
- The technique used and any additional procedures such as earlobe correction
- The type of anaesthesia (local or general)
- Post-operative check-ups and supportive items such as the headband
The information on this page is for general guidance only; diagnosis and treatment plans are decided individually after a physician's examination.
Treatment Process
Consultation and Assessment
The shape of the ears, their position relative to the head and the differences between them are assessed, and the right technique and type of anaesthesia are discussed.
Surgery
The cartilage is reshaped through an incision behind the ear and the ear is brought closer to the head.
Recovery and Follow-up
Advice on the dressing and headband is given, and your recovery is followed up at check-up appointments.
Who is it suitable for?
- Children and adults who are bothered by prominent ears
- People with a clear difference in shape between their ears
- People who are able to wear the headband after surgery as advised
- People with realistic expectations who are able to follow the aftercare advice
Quick Facts
- Duration: 1–2 hours
- Treatment Model: Single operation + follow-up visits
- Recovery: Most people return to school or work within a week
- Method: Otoplasty under local anaesthesia with sedation or general anaesthesia
Frequently Asked Questions
At what age can otoplasty be done?
Because the ear reaches most of its adult size at around the age of 5–6, the operation is usually done after this age. There is no upper age limit for adults; general health is assessed.
Will otoplasty leave a scar?
Because the incision is placed in the natural crease behind the ear, the scar cannot be seen from the outside. Rarely, the scar may thicken; this is monitored at check-ups.
How long do I need to wear the headband?
It is usually recommended day and night for the first days, then at night for several weeks. Your physician will confirm the exact timing at your check-up.
Is otoplasty painful?
Because the operation is performed under anaesthesia, you will not feel pain during the procedure. There may be mild pain and tenderness for a few days afterwards, which is managed with the pain relief your physician recommends.
What does the cost of otoplasty depend on?
It depends on whether one or both ears are operated on, the technique, any additional procedures and the type of anaesthesia. The exact price is set after the consultation.