Ostoplasty - Ear Reshaping / Split
Earlobe Surgery / Big Ear Surgery
Ear Surgery (Otoplasty)
Considering Ear Surgery...
Ear surgery, or otoplasty, is usually done to set prominent
ears back closer to the head or to reduce the size of
large ears. Also split ear lobes can be repaired.
If you're considering ear surgery for yourself or
your child, this information will give you a basic
understanding of the procedure-when it can help, how
it's performed, and what results you can expect. It
can't answer all of your questions, since a lot depends
on your individual circumstances. Please be sure to
ask our surgeon if there is anything you don't understand
about the procedure.
All Ear Reshaping Surgery Carries Some Uncertainty
and Risk
When ear surgery is performed by a qualified, experienced
surgeon, complications are infrequent and usually
minor. Nevertheless, as with any operation, there
are risks associated with surgery and specific complications
associated with this procedure.
A small percentage of patients may develop a blood
clot on the ear. It may dissolve naturally or can
be drawn out with a needle.
Occasionally, patients develop an infection in the
cartilage, which can cause scar tissue to form. Such
infections are usually treated with antibiotics; rarely,
surgery may be required to drain the infected area.
Planning For Ear Surgery
In the initial meeting, our surgeon will evaluate
your child's condition, or yours if you are considering
surgery for yourself, and recommend the most effective
technique. He or she will also give you specific instructions
on how to prepare for surgery.
Where The Ear Surgery Will Be Performed
Ear surgery is usually performed as an outpatient
procedure in a hospital, a doctor's office-based surgical
facility, or a freestanding surgery center. Occasionally,
your doctor may recommend that the procedure be done
as an inpatient procedure, in which case you can plan
on staying overnight in the hospital.
Types of Anesthesia for Ear Surgery
If your child is young, your surgeon may recommend
general anesthesia, so the child will sleep through
the operation. For older children or adults, the surgeon
may prefer to use local anesthesia, combined with
a sedative, so you or your child will be awake but
relaxed.
The Surgery
Ear surgery usually takes about two to three hours,
although complicated procedures may take longer. The
technique will depend on the problem.
With one of the more common techniques, the surgeon
makes a small incision in the back of the ear to expose
the ear cartilage. We then sculpt the cartilage and
bend it back toward the head. Non-removable stitches
may be used to help maintain the new shape. Occasionally,
the surgeon will remove a larger piece of cartilage
to provide a more natural-looking fold when the surgery
is complete.
Another technique involves a similar incision in
the back of the ear. Skin is removed and stitches
are used to fold the cartilage back on itself to reshape
the ear without removing cartilage.
In most cases, ear surgery will leave a faint scar
in the back of the ear that will fade with time. Even
when only one ear appears to protrude, surgery is
usually performed on both ears for a better balance.
Getting Back to Normal after Ear Surgery
Adults and children are usually up and around within
a few hours of surgery, although you may prefer to
stay overnight in the hospital with a child until
all the effects of general anesthesia wear off.
The patient's head will be wrapped in a bulky bandage
immediately following surgery to promote the best
molding and healing. The ears may throb or ache a
little for a few days, but this can be relieved by
medication.
Within a few days, the bulky bandages will be replaced
by a lighter head dressing similar to a headband.
Be sure to follow your surgeon's directions for wearing
this dressing, especially at night.
Stitches are usually removed, or will dissolve, in
about a week.
Any activity in which the ear might be bent should
be avoided for a month or so. Most adults can go back
to work about five days after surgery. Children can
go back to school after seven days or so, if they're
careful about playground activity. You may want to
ask your child's teacher to keep an eye on the child
for a few weeks.
Other Ear Problems
Besides protruding ears, there are a variety of other
ear problems that can be helped with surgery. These
include: "lop ear," when the tip seems to
fold down and forward; "cupped ear," which
is usually a very small ear; and "shell ear,"
when the curve in the outer rim, as well as the natural
folds and creases, are missing. Surgery can also improve
large or stretched earlobes, or lobes with large creases
and wrinkles. Surgeons can even build new ears for
those who were born without them or who lost them
through injury.
Sometimes, however, the correction can leave a scar
that's worse than the original problem. Ask your surgeon
about the effectiveness of surgery for your specific
case.
More Natural-Looking Ears
Most patients, young and old alike, are thrilled with
the results of ear surgery. But keep in mind, the
goal is improvement, not perfection. Don't expect
both ears to match perfectly-perfect symmetry is both
unlikely and unnatural in ears. If you've discussed
the procedure and your expectations with the surgeon
before the operation, chances are, you'll be quite
pleased with the result.
Split Ear Lobe Surgery
Plastic surgery to repair a torn earlobe is a frequent
occurrence. Piercing an earlobe puts it at risk to
tear. The size, style and weight of an earring can
contribute to the stretching of the earlobe opening.
Large earrings that dangle are caught on clothing
or grasped by a child. The result may be a partially
or completely torn earlobe. Repair of a torn earlobe
occurs in the plastic surgery office setting using
a local anesthetic. The procedure consists of "freshening"
the edges of the split and placement of sutures to
complete the repair of the earlobe.
Torn Ear Lobe Repair Procedure
In most pierced ears, the pierced hold gradually enlarges
over time. If it tears, the final tear is usually
just through a tiny piece of tissue at the bottom
of the lobe. In this case, immediate repair will not
take care of the skin covered slot, so reconstruction
is delayed until after the wound has healed and inflammation
has diminished. However, if the tear starts from a
tiny pierced hold, immediate repair is an option.
Depending on the deformity, reconstruction can take
different forms. In all methods, the skin lining the
slot is removed creating a raw edge to rebuild. When
tissue has been lost, however, the procedure is more
complicated, and reconstruction involves creating
normal proportions around a somewhat small ear.
After Your Ear Lobe Repair Procedure
Sutures are removed 1 - 2 weeks after the repair procedure.
A thin layer of antibiotic ointment is the only dressing
applied in most cases. A little drainage from the
wound is to be expected.
How soon can I wear earrings after surgery?
You should wait six months after surgery before wearing
earrings. The scar should be soft before you get your
lobe re-pierced, approximately three months after
the earlobe repair.
Need more information about Ear Reshaping / Split
Earlobe Surgery?
If you would like more information about Ear Reshaping
/ Split Earlobe Surgery offered by our Consultant,
or whether Ear Reshaping / Split Earlobe Surgery is
right for you, please contact
us today.
For more information about Ear Reshaping / Split Earlobe
Surgery in Blackpool , Preston and the North West,
call 01772 663977 or email
for further details.
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