| Procedure | Ears can be reshaped with a procedure called pinnaplasty (=otoplasty / ear reduction / ear pinning / bat ear correction / prominent ear correction / sticking out ear correction). Prominent ears are caused by an underdeveloped ear fold (=antihelical fold) and by large mid–ears (=conchal bowls). They can cause cosmetic concerns and problems with headwear, helmets and headphones. |
|---|---|
| Ear folding is done through a cut in the crease behind the ear. The skin is elevated, and the cartilages are reshaped with cuts, cartilage removal and dissolving stitches. | |
| Some patients like to have their ear size reduced. This can be combined with a folding procedure. A “T”–shaped cut across the ear rim (=helix) which extends in the rim fold (=scaphoid fossa) is used. | |
| The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months. A head bandage has to be worn for a week afterwards and is then replaced with a head band to be worn at night or when engaging with sports. | |
| Scars | In the crease behind the ear for protruding ears. Across and under rim for large ears. |
| Operation time | 1.5 hours |
| Anaesthesia | Local |
| Hospital Stay | Day Surgery |
| Benefits | Cosmetic, Psychological, Functional |
| Risks | Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Skin cones, Wound separation, Slough, Necrosis, Pain, Numbness, Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Recurrent prominence, Sharp / straight ear folds, Cosmetic imperfections, Functional problems, Contour irregularities, Need for further surgery, Allergic reaction |
| N.B. Most complications are unlikely and serious risks are rare | |
| Risk factors | Smoking / high blood pressure, bleeding tendency, diabetes |
| Optimising factors | Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, headband for 6-12 weeks |
| Discomfort | 1 – 2 weeks |
| Bruising | 2 – 3 weeks |
| Recovery | Light activities and driving one week, Physical work & sports 6 weeks, Unrestricted 3 months |
| Acceptable appearance | 2 – 4 weeks for most patients (This is subjective) |
| Final result | 6 – 18 months |
| Alternatives | No Surgery, Hair-styling, Ear-molding in young babies, Earfold device |
Anstey Hall
Maris Lane
Cambridge
CB2 9LN
