Otoplasty, commonly known as ear pinning, is a cosmetic surgical procedure designed to address various ear-related concerns. The procedure can correct protruding ears, reshape misshapen lobes, repair damage from trauma or previous piercings, and more. In the hands of our skilled Sacramento plastic surgeon, otoplasty can significantly improve self-esteem and confidence in adults and children alike.
If you or your child feel self-conscious about the appearance of your ears (whether due to their size, shape, or position), otoplasty can be a transformative step. Continue reading to learn more about this potentially life-changing surgery.
Quick Facts About Otoplasty Procedures
- Sedation: General anesthesia or local anesthesia with sedation
- Inpatient/Outpatient: Outpatient
- Potential Benefits: Reduction or enhancement of excessively large or small ears; restoration of stretched or torn earlobes; improved balance and symmetry between the ears; correction of “lop ear” or “shell ear”
- Recovery: Adults can generally return to work (and children to school) after a week of rest; strenuous activities and contact sports should be avoided for at least a month
- Cost: Roughly $5,400 to $7,000
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Who Is a Candidate for Otoplasty?
Candidates for otoplasty may wish to address a range of ear concerns, including torn or stretched earlobes. It is particularly common among children aged 4 to 15 years, especially those with congenital ear abnormalities such as oversized or protruding ears, which may lead to teasing or self-consciousness. At Chrysalis Cosmetics, we like to treat the ears before the age of seven. It is after this age we tend to see that the teasing can become internalized and become something that can affect self-esteem.
That said, ear surgery can benefit adults as well. Men, particularly those who are experiencing hair loss, often find that ear prominence becomes more noticeable, while women who enjoy wearing their hair pulled back may appreciate reduced ear visibility. It can also be helpful for women as they age, as the hair can thin and the ears become even more visible and less easily hidden.
Otoplasty is also commonly performed in adults without introducing additional risks. It can correct conditions like “lop ear” (when the upper tip of the ear folds down and forward) or “shell ear” (when the ear lacks natural folds, creases, and curves), helping to restore a more balanced appearance.
Ear surgery can be an ideal solution for:
- Children with protruding or oversized ears
- Adults who have sustained ear injuries or desire aesthetic improvements
- Individuals looking to achieve better symmetry between ears
- Those in good overall health
Ear surgery may not be suitable for:
- Individuals under the age of four, as the ears are still growing
- Those with certain medical conditions (be sure to inform Dr. Perry of any health issues or medications you are taking)
While otoplasty can help improve ear symmetry, it is important to set realistic expectations. Perfect symmetry is not always achievable, but Dr. Perry will work diligently to achieve the most natural and balanced results possible when performing surgery on both ears. It is also important to remember that both ears cannot be fully seen at the same time.
How is Ear Surgery Performed?
Ear surgery techniques vary based on the aesthetic concern. Generally, Dr. Perry begins by making a small incision behind the ear to access the cartilage. The cartilage is then reshaped and repositioned to create a flatter appearance against the head. In some cases, Dr. Perry can remove excess cartilage or fold it back on itself with stitches.
For torn or gauged earlobes, Dr. Perry is proficient in lobuloplasty, which involves excising damaged tissue and suturing the lobe to restore its shape. Excess skin may be removed to prevent drooping, leaving behind a minimal, straight-line scar that typically fades over time.
Common otoplasty techniques include:
- Double Incision (or Bilateral) Otoplasty: The most common technique, requiring incisions both behind and in front of the ear to correct prominent ears with precision.
- Single Incision Otoplasty: A less invasive method with one incision behind the ear to address minor irregularities.
- Incision-less Otoplasty: Often used for minor corrections (such as antihelix, or ear fold, adjustments), where permanent sutures hold the ear in place without any visible incisions.
The procedure is typically performed on an outpatient basis, with general anesthesia for children and local anesthesia with sedation for adults. Otoplasty usually takes about an hour, and can sometimes be combined with other procedures, such as facelift surgery or rhinoplasty.
What Does Otoplasty Recovery Entail?
Recovery from otoplasty is typically quite straightforward. After ear surgery, bulky bandages will be replaced with a lighter headband-style bandage in a few days. Children can return to school within a week but should avoid playground activities. For a month, sports or any activity that could bend the ear should be avoided.
Otoplasty generally has a low risk of complications; however, as with any surgery, some possible risks exist. For example, infection can lead to scar tissue formation and is usually treated with antibiotics, or in rare cases, additional surgery. Suture-related complications may arise if permanent sutures poke through the skin and need removal. Allergic reactions to anesthesia, though uncommon, can be serious, and blood clots, while usually harmless, may require drainage in some cases.
Dr. Perry has prepared detailed pre- and post-surgery instructions to guide you through the process. Be sure to review them before surgery and bring a printed copy on the day of the procedure.
Ear Surgery Instructions (printer-friendly)
How Much Does Otoplasty Cost?
The cost of otoplasty at our practice typically ranges from $5,400 to $7,000 for bilateral procedures with anesthesia. Please note that this range is an estimate and can vary based on factors such as the complexity of the procedure, the surgeon’s fee, anesthesia, and the medical facility used.
Because otoplasty is largely considered a cosmetic surgery, insurance companies will usually not cover the procedure. With this in mind, if the surgery is necessary to address functional issues (such as repair after trauma), insurance may provide partial coverage. Additionally, we offer financing options through trusted third-party lenders, which can help qualified patients find a payment plan that best suits their budget and lifestyle.
We want you to feel confident and well-informed before undergoing your procedure. The total cost will be thoroughly discussed during your consultation, and we encourage you to ask any questions you may have.
For more information about otoplasty, feel free to contact Chrysalis Cosmetics.
*Individual Results May Vary
