OTOPLASTY

Prominent or protruding ears are a congenital malformation (present from birth), resulting from an alteration in the folding and projection of the cartilaginous structures that give shape to the ear.

This procedure is performed to change the appearance of protruding ears. It can be performed in children from the age of 5 to 6 years, when the auricular cartilages are fully developed.

We consider this age ideal for this surgery to prevent teasing that could negatively affect the image and emotional state of patients. It can also be performed in adolescents and adults.

Surgical time: 2 hours.

General or local anesthesia.

In children, always under general anesthesia.

Consultation Process

During your consultation I will assess the degree of ear prominence and discuss the goals of surgery. I will explain what cartilage reshaping can achieve and show before and after photos of similar cases. For children, it is important for parents to understand the procedure and recovery requirements — children from age 5 to 6 can safely undergo this surgery once cartilage development is complete. For adult patients, the consultation is equally thorough and the procedure is well tolerated under local anesthesia.

Surgical Technique

We have a wide variety of surgical techniques available. All involve small incisions placed behind the ear (retroauricular) — hidden in the natural crease — to mold the cartilage, reducing the angle of projection and improving ear contour.

This surgery can be performed on an outpatient basis. Only under special circumstances is hospitalization required.

Step-by-Step Procedure Description

Through a small incision hidden behind the ear, I access the cartilaginous structures that define the shape and projection of the ear. Depending on the anatomy, I may sculpt and weaken the cartilage with controlled techniques, or place permanent sutures to hold the new cartilage angles in position. In more pronounced cases, a small amount of cartilage may be removed.

The result is an ear positioned closer to the head with a natural, harmonious contour. The retroauricular incisions are virtually imperceptible once healed.

Pre-Surgical Examinations

Basic blood tests including:

Complete blood count, PT, PTT, platelets (coagulation tests), creatinine (kidney function test). Specialized examinations when warranted by the case.

Recovery Timeline

Days 1–3: A protective dressing wraps around the head to support the ears and reduce swelling. Mild to moderate discomfort is managed with prescribed analgesics. Avoid touching or manipulating the ears.

Week 1: The dressing is removed around day 7–10. You can see the new ear position for the first time. Some swelling remains. Avoid sleeping on the ears and continue with prescribed antibiotics and analgesics.

Weeks 2–3: Swelling reduces significantly. Light school or desk work can be resumed. Contact sports and activities that could impact the ears must still be avoided.

Month 1: Most swelling has resolved. The ears look natural in their new position. Moderate physical activity can resume.

Month 1 and beyond: The final result is stable. Retroauricular scars mature and become nearly invisible.

Post-Operative Care

Local ice for 24 to 48 hours.

Analgesics and antibiotics for 5 to 7 days.

Avoiding trauma and physical contact with the ears for 5 to 10 days reduces the risk of complications.

Recovery

Work or school activities restricted for 5 to 10 days.

Physical and sports activities restricted for 3 to 4 weeks.

Frequently Asked Questions

Will the ears return to their original position?

Otoplasty produces permanent changes. There is a small risk that internal sutures could loosen over time, causing partial recurrence. This can be corrected with a revision if it occurs.

At what age can children undergo otoplasty?

From 5 to 6 years of age, when the auricular cartilage is fully developed. Operating at this age prevents the social difficulties that prominent ears can cause during school years.

Will my child's hearing be affected?

No. Otoplasty only reshapes the external structure of the ear and does not affect the ear canal or hearing in any way.

Will the scars be visible?

The incisions are placed behind the ear in a location that is not normally visible. Over time they become virtually imperceptible.

How long will my child need to miss school?

Typically 5 to 10 days. Most children return to school feeling comfortable and noticeably more confident.

Why Choose Me?

I have extensive experience in otoplasty in both children and adults. My technique produces ears that look natural and proportionate — never over-corrected. I understand the unique concerns of parents seeking this procedure for their children and approach these cases with the care and sensitivity they deserve.

Complications

Complications are uncommon and usually minor.

1. Poor scarring.
2. Infections.
3. Asymmetries.
4. Hematomas.
5. Recurrence due to rupture of internal sutures.

Avoid the use of medications or substances that may increase the risk of complications.