Ear surgery, also known as otoplasty, is performed to correct the size, shape, or proportions of the ears through ear pinning or ear reduction. Although they are only a small feature, ears have the power to either create or deteriorate facial harmony. Because of their intricate, lateral placing on the head, protruding or oversized ears become a focal point, rather than attention drawn to the face. Otoplasty can be performed from as early as the age of 4 since the ears are almost fully grown at that point.

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Otoplasty is a surgical procedure that reshapes and resizes the ears, as well as corrects the position of the ears to decrease outward protrusion. Dr. Kassir performs both ear pinning procedures and ear reduction procedures. Someone who wishes to eliminate the outward projection of their ears would be a good candidate for an ear pinning surgery, whereas someone who is not satisfied with the shape and size of their ears would qualify for an ear reduction procedure.

Ear pinning is a simple, noninvasive surgery that is performed under local anesthesia. It is a procedure designed to pin the ear closer to the head, targeted at ears that have not been properly folded. To begin the surgery, Dr. Kassir first makes an incision behind the ear. The cartilage within the ear is reshaped and then positioned closer to the sides of the head, to alleviate the protruding appearance. Any extra skin is removed and the incision is closed with sutures. Depending on the patient's specific needs, reshaping of the cartilage is not always necessary. Often times, a stitch is placed, pulling the ear closer to the side of the head to recreate the natural ear curves for a more proportioned appearance. This procedure has a typical time duration not exceeding 1 hour, dependent on the magnitude of the work needed. The recovery for this procedure has minimal downtime and most patients have reported feeling no pain.

Macrotia is a condition in which the ears are larger than the average size. Macrotia is often associated with multiple types of genetic disorders, such as Fragile X Syndrome. Ear reduction is a surgery designed to reshape and resize the ears. To begin the surgery, Dr. Kassir makes a crescent shape incision below the scaphoid fossa, between the anti-helix and the helix rim. Cartilage and skin are resected until the desired size of the ear is reached, and then stitches are used to close the incision. Ear reduction is typically performed under local anesthesia for adults and general anesthesia for children.

Following reconstructive otoplasty, patients are sent home with a bandage around the head and over the ears. The bandage is removed after a couple of days and a headband is typically worn up to 1 week. Stitches are removed after 1 week following the procedure if dissolvable stitches were not utilized, and patients can resume normal daily activity at that time. Although some patients may experience swelling or bruising to the ears, final results will be seen in just a few weeks.


Am I able to sleep on my side after ear surgery?

To keep swelling down and protect the sutures, it is important to sleep with your head elevated and on your back for 1 week following the surgery.

How long until I can wash my hair after ear surgery?

Hair can be washed 1-2 days after surgery.

How long until I can return to work after otoplasty?

Patients are able to return to work between 3-7 days. Recovery is dependent on the extent and type of the procedure performed, so it is best to schedule a consultation to determine what type of surgery will be right for you.

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