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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.
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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.
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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.
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Scars
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In the crease behind the ear for protruding ears. Across and under rim for large ears.
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Operation time
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1.5 hours
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Anaesthesia
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Local
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Hospital Stay
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Day Surgery
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Benefits
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Cosmetic, Psychological, Functional
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Risks
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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
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N.B. Most complications are unlikely and serious risks are rare
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Risk factors
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Smoking / high blood pressure, bleeding tendency, diabetes
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Optimising factors
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Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, headband for 6-12 weeks
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Discomfort
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1 – 2 weeks
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Bruising
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2 – 3 weeks
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Recovery
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Light activities and driving one week, Physical work & sports 6 weeks, Unrestricted 3 months
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Acceptable appearance
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2 – 4 weeks for most patients (This is subjective)
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Final result
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6 – 18 months
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Alternatives
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No Surgery, Hair-styling, Ear-molding in young babies, Earfold device
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