Overview

The term "otoplasty" literally means "reshaping or reforming ears." Most commonly the procedure is performed to correct prominent ears by setting them back closer to the head. Ears come in all shapes and sizes, however, an "otoplasty" may refer to correction of a number of different ear deformities.

Children, long the victims of cruel nicknames like “Dumbo” 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. It is usually best to have an otoplasty just prior to going to school. There is no medical benefit to waiting longer and a child who has never previously noticed his or her ears can become very self-conscious once the teasing has started.

In adults of all ages, protruding ears are frequently unsightly and can even lead to unhappiness with appearance and the inability to select hairstyles.

Children usually have otoplasty under general anaesthesia (completely asleep) while many adults choose local anaesthesia with sedation. Both adults and children tend to go home the same day. The incision for otoplasty is hidden in the crease behind the ear. The cartilage is sculpted and often sutures placed to hold the cartilage in its new position.

There is very little discomfort and the results are frequently quite dramatic. Surgery may improve the asymmetry, which exists before the procedure. However, as with all facial plastic surgical procedures, it is impossible to achieve perfect symmetry due to variations in ear position and anatomy.