Julie
North londonMost commonly the procedure is performed to correct prominent ears by setting them back closer to the head. Ears come in all shapes and sizes, however, an “otoplasty” may refer to correction of a number of different ear deformities.
Otoplasty or ear surgery can be conducted at any age given that the ears have reached its maximum size and that is most likely when someone comes to the age of five or six. It is advisable to undergo Otoplasty before the child goes to school because there is no medical benefit if you prolong the wait.
In adults of all ages, protruding ears are frequently unsightly and can even lead to unhappiness with appearance and the inability to select hairstyles.
Children usually have otoplasty under general anaesthesia (completely asleep) while many adults choose local anaesthesia with sedation. Both adults and children tend to go home the same day. The incision for otoplasty is hidden in the crease behind the ear. The cartilage is sculpted and often sutures placed to hold the cartilage in its new position.
There is very little discomfort and the results are frequently quite dramatic. Ear Surgery may improve the asymmetry, which exists before the procedure. However, as with all facial plastic surgical procedures, it is impossible to achieve perfect symmetry due to variations in ear position and anatomy.
Pre Op
Your specialist will initially ask you to express your concerns about your appearance and to discuss your goals & expectations. Your medical history will be reviewed and a physical examination will be conducted. The initial assessment is very important. Sometimes only one ear appears to be prominent. Even if only one ear needs “pinning back,” surgery may be recommended on both ears to achieve the most natural, symmetrical appearance. Mr Golchin will help you decide whether you need surgery on one or both ears.
You may be required to visit your GP for a check up & for any necessary blood work & x-rays. Precise preoperative instructions are provided, and all necessary prescriptions are given to you in advance of the surgery. You will be provided with a complete list of which medications to avoid.
Post Op
The first one to two hours after surgery is spent in the recovery room. When you are fully alert, you will be able to return home in the care of a friend or a family member.
The following morning, all bandages are removed. The surgical sites are inspected, lighter bandage is placed and instructions are given. Mr Golchin leaves the head dressing on, both day and night for 1 week when it is then removed. A headband is then worn at night for at least a week.
Most patients describe the pain following otoplasty as mild to moderate. Pain medication is prescribed, although this is usually unnecessary after the first couple of days. Sleeping with your head elevated can reduce the discomfort.
There may be mild bruising and swelling which lasts for approximately 1-2 weeks. Most patients return to work and social activities after one week. Heavy physical exercise is avoided for three weeks following an otoplasty.