OTOPLASTY - Surgery for protruding ears
Otoplasty is ear surgery. This surgical procedure corrects abnormalities in the shape, size, or position of the ears. This surgery is primarily performed to correct protruding, asymmetrical ears, or those with other aesthetic defects (split lobes, etc.) .
What are the different types of otoplasty?
What are the different types of otoplasty?
Otoplasty
otoplasty ear reattachment (5)
Incisions are made inside the nostrils and another small incision is made outside, through the columella (the fleshy part between the nostrils). This approach allows for better visualization and direct access to the nasal structures, which can be particularly useful in more complex corrections. It leaves a small visible scar on the columella, but this tends to fade over time.
Otoplasty is performed from the age of 7. However, it can also be performed on adults.
This procedure is considered relatively safe, but like any surgery, it carries potential risks (infection, bleeding, anesthesia allergy). It is important to consult a qualified plastic surgeon to discuss expectations, risks, and potential outcomes before deciding to undergo otoplasty.
Otoplasty by cartilage correction
This method is used to treat protruding ears. The surgeon reshapes the ear cartilage by removing excess cartilage, bending or straightening existing cartilage to achieve the desired shape.
Suture otoplasty
This method involves using sutures to bend or reshape the ear cartilage without requiring large incisions. This may be appropriate for minor corrections.
Bilateral or unilateral otoplasty
Depending on the patient’s needs, otoplasty can be performed on one ear or both.
Why have otoplasty?
Aesthetic improvement
Improving appearance is one of the most common reasons for undergoing otoplasty. Patients want to change the size and shape of their ears to achieve a more harmonious facial balance.
Correction of congenital defects
For people born with ear abnormalities, such as asymmetries, deformities, or bumps, otoplasty is used to correct these congenital defects.
Injuries or trauma
People who have suffered an ear injury, whether due to an accident, sport (rugby players, etc.) or another cause, seek out a cosmetic surgeon to repair the damage and restore the natural shape of the ears.
Self-confidence
Improving physical appearance has a positive impact on self-confidence and self-esteem.
Before/After Simulations
Is otoplasty painful?
It is normal to experience some discomfort and pain during the immediate postoperative period. However, pain is manageable with pain relief medications prescribed by the surgeon.
The first few days after surgery are the most uncomfortable, and the pain will gradually decrease over time. Patients experience a feeling of tension, swelling, and mild pain around the ears. There is some tenderness, and it may be necessary to wear a bandage or compression garment around the head to help maintain the new shape of the ears while healing.
It is important to follow the surgeon’s post-operative recommendations to minimize discomfort and promote optimal recovery.
What are the risks of otoplasty?
1. Cartilage Displacement
There may be involuntary displacement of cartilage after surgery, requiring additional surgical correction.
2. Infections
As with any surgical procedure, there is a risk of infection. Patients should carefully follow postoperative instructions to minimize this risk.
3. Anesthetic Reactions
Adverse reactions to anesthesia can occur. However, these reactions are rare and are usually well managed by the medical team.
4. Bruising and Swelling
lood accumulation under the skin (hematoma) can occur after otoplasty. The surgeon will operate again if necessary, but this is rare.
5. Healing problems
Some people have poor healing (genetic predisposition to hypertrophic scarring). Postoperative recommendations must be carefully followed.
6. Alterations in sensation
There is a temporary alteration of sensitivity in the ear. It is rarely permanent.
7. Aesthetic dissatisfaction
The patient is disappointed with the result.
What are the steps of otoplasty?
1) Initial consultation
Before surgery, the patient must consult a plastic or cosmetic surgeon. During this consultation, the surgeon will assess the patient’s ear structure, discuss expectations, and explain the various surgical options available.
2) Simulation
A simulation is performed to simulate the outcome and help the patient visualize the desired result. Perform an otoplasty simulation.
3) Preparation for the intervention
Once the decision is made to proceed with otoplasty, the surgeon and patient schedule the procedure. Preoperative medical examinations may be necessary to ensure the patient’s suitability for surgery.
4) Day of the intervention
Anesthesia
Otoplasty is performed under general or local anesthesia, depending on the complexity of the procedure. The choice of anesthesia is discussed between the patient and the surgeon.
Incisions
Depending on the technique chosen, the surgeon makes incisions behind the ear or in other discreet areas. These incisions allow access to the cartilage and begin the correction.
Cartilage Reshaping
The surgeon uses different techniques to reshape the ear cartilage to achieve the desired shape. He removes cartilage or rolls it up.
Sutures and Dressing
Once the correction is made, the incisions are closed with sutures. Special dressings are applied around the ears to help maintain the new shape and protect the operated area.
5) Post-operative period
The patient is monitored during the immediate postoperative period for any signs of complications. Follow-up appointments are scheduled to monitor healing and remove sutures.
6) Follow-up
The patient should follow the surgeon’s post-operative instructions, including dressing care, prescribed medications, and activities to avoid during the recovery period.
Developments after otoplasty
Swelling and bruising
Immediately after surgery, it is normal to experience some swelling and bruising around the ears. This will gradually decrease over the days and weeks following surgery.
Pain and discomfort
The first few days after otoplasty are associated with some pain and discomfort. However, this is well controlled with painkillers prescribed by the surgeon.
Bandages
Patients must wear special dressings or a bandage around their ears to help maintain the new shape and protect the operated area. The surgeon will indicate how long these dressings should be worn.
Removal of sutures
The sutures used during the procedure are removed at follow-up appointments. The length of time before suture removal depends on the surgical technique used.
Healing
Scars, although often hidden behind the ear, fade over time. It is important to follow the surgeon’s advice to minimize scarring.
Results
The final results of otoplasty take 3 to 6 months to stabilize. The ears continue to evolve over time during the healing period.
What scars are left by otoplasty?
Scars vary depending on the surgical technique used. Surgeons strategically hide incisions. Here are the main types of incisions and the associated scars:
Otoplasty through incision behind the ear
This is the most common approach. The incision is made in the natural crease behind the ear? This helps conceal the scar.
Suture otoplasty
The surgeon uses stitches, especially deep stitches, to change the ear’s orientation. No incision is made directly on the skin, so there is virtually no scarring.
Otoplasty through an incision in the front of the ear
This is a rare case. The disadvantage of this method is that it leaves a visible scar.
The Amazing Story of Rhinoplasty
Here are the main dates and developments in rhinoplasty:
Early 20th century
The first otoplasty procedures are performed to correct congenital ear abnormalities.
1960s-1970s
With advances in plastic and reconstructive surgery, otoplasty techniques began to develop. Surgeons improved techniques for reshaping cartilage.
Techniques to Minimize Scars
Surgeons are developing methods to reduce scarring.
Modern technologies
3D computer modeling and advanced surgical instruments help improve the accuracy and results of otoplasty.
Non-surgical approaches
Non-surgical approaches (filler injections) and the use of metal springs (Earfold) are emerging.
Before/After Simulations