Ear re-shaping (otoplasty/pinnaplasty)

The purpose of otoplasty is to reduce the size of the ears, repair ears that have been damaged in accidents or make ‘sticky out ears’ less prominent.

What does the procedure involve?

Most ear re-shaping is performed under general anaesthetic. However, in some instances adults may have surgery performed under local anaesthetic. During surgery an incision is made behind the ear in the fold where the ear meets the head. Cartilage and skin is removed and in some cases cartilage is pinned back with stitches. The incision is then sewn up.

What are the benefits and what are the risks?

Benefits

The main benefit of otoplasty is psychological, as patients feel more confident, happier and less self-conscious. The ears will be smaller and less prominent changing the whole look of the face.

Risks

Serious risks associated with ear surgery are very rare. The biggest risk is that if the ears have been pinned back they may go back to their original position and the operation may have to be performed again. This can happen in about 8% of cases. Very rare side effects include bleeding underneath the skin or patients being left with asymmetrical ears. Scarring is usually unnoticeable because the incision is generally made behind the ear.

Is it the right procedure for me?

Most people who opt for ear surgery do so because of a lack of confidence. Often patients have felt self-conscious about their appearance for years. However, you need to be realistic about what can be achieved and you should discuss with the surgeon what you are unhappy with and what results can be expected. Children are often the best candidates for otoplasty because their cartilage is softer and easier to mould. As such most patients who have ear surgery are aged between five and fourteen.

How long does the procedure take?

Surgery takes approximately one hour.

What happens after surgery?

After surgery your ears will feel very tight and sore and you will probably need to take pain killers. When leaving hospital you will be bandaged for about seven to ten days after which it will be removed along with any stitches. Afterwards you may need to wear a night support bandage for up to four weeks.

How much is it likely to cost?

Prices may vary between £2,000 and £2,500 but ear surgery is free on the NHS for children.