What is Otoplasty?

Otoplasty is a cosmetic surgery that changes the shape, position, or size of the ears. It is often chosen by individuals who feel their ears stick out too far, those who have experienced changes due to injury, or people with congenital ear shape differences.

This surgery can be performed once the ears have reached their full size. Children as young as 4 to 6 years old may undergo otoplasty, and it is equally effective for adults.

In infants with prominent ears or other minor shape concerns, a non-surgical method called ear splinting may be an option. Splints are applied to mold the ear in the first few days of life, but this method is less effective after the early weeks.

Why is Otoplasty Done?

You may consider otoplasty if:

• Your ears stick out too far from your head

• Your ears appear disproportionately large compared with your head

• You are dissatisfied with the results of a previous ear surgery

Otoplasty is usually performed on both ears to maintain symmetry. It does not affect the placement of the ears on the head and does not change hearing ability.

Risks of Otoplasty

As with all surgical procedures, otoplasty carries some risks:

• Bleeding, blood clots, or infection

• Adverse reactions to anesthesia

• Permanent scarring (though scars are usually hidden behind the ear or within creases)

• Asymmetry due to healing changes or preexisting differences

• Temporary or rarely permanent changes in skin sensation

• Overcorrection, where the ears look “pinned back”

Preparing for Otoplasty

Medical Evaluation

During consultation, the surgeon will:

• Review medical history, especially ear infections and past surgeries

• Conduct a physical exam to evaluate ear placement, size, shape, and symmetry

• Take photographs for reference

• Discuss goals, expected results, and surgical risks

Pre-Surgery Instructions

• Avoid aspirin, anti-inflammatory medications, and certain herbal supplements before surgery to reduce bleeding risk

• Stop smoking, as it slows healing and reduces blood flow

• Arrange for someone to drive you home and stay with you the first night after surgery

What to Expect During Otoplasty

Before the Procedure

The surgery may be performed in a hospital or clinic. Patients receive general anesthesia (sleep-like state) or local anesthesia with sedation to ensure comfort.

During the Procedure

Techniques vary, but typically:

• Incisions are made behind the ears or in natural creases to hide scars

• Excess cartilage and skin may be removed

• Ear cartilage is reshaped and secured with stitches

• Incisions are closed with additional sutures

The procedure usually lasts 1–2 hours.

After the Procedure

• Ears are bandaged for protection and support

• Patients may feel discomfort, itching, or mild pain, usually manageable with medication

• Avoid sleeping on your side or applying pressure to the ears

• Wear loose-collared or button-down shirts to prevent irritation

A few days later, the bandages are removed. Swelling is common, and a soft headband may be recommended at night for several weeks to prevent the ears from moving during sleep.

Stitches may dissolve naturally, or they may need to be removed in the clinic. Your surgeon will advise on when normal activities, including bathing and exercise, can be resumed.

Results of Otoplasty

When the bandages come off, changes in the ear’s appearance will be visible immediately. The results are typically long-lasting and can greatly improve facial harmony.

If results are unsatisfactory, revision surgery may be considered to refine the outcome.