Otoplasty (Ear Surgery)

Ears are considered prominent when they stand out from the head more than usual. The most common causes are an underdeveloped fold of the ear cartilage (the antihelix) and an enlarged bowl of the ear (the concha), sometimes both. One or both ears may be affected, and they may differ from each other.

Otoplasty is tailored to the cause of the prominence. The incision is usually placed in the natural crease behind the ear, where the scar is well hidden.

• Creating or enhancing the antihelical fold with permanent sutures
• Reducing or setting back an enlarged concha
• Gently reshaping the cartilage where needed
• Adjusting the earlobe for a balanced overall result

Dr. Khair examines both ears, identifies which parts of the cartilage cause the prominence and discusses the expected result. For children, ear correction is usually considered from around school age, when the ear has reached most of its adult size, and the child's own wish is an important part of the decision. Adults can be treated at any age.

• A protective head bandage is worn for the first few days
• A soft headband is then usually worn, especially at night, for several weeks
• Tenderness and swelling are common at first and gradually subside
• Return to school or office work is often possible after about one week
• Contact sports are avoided for several weeks to protect the ears

Possible risks include bleeding, infection, changes in skin sensation, visible or thickened scars, residual asymmetry and partial recurrence of prominence. Perfect symmetry is not always achievable, since both ears often differ naturally. These points are discussed in consultation.