What Is Otoplasty (Ear Pinning Surgery)?
Otoplasty: What Is It and Who Is It Suitable For?
Otoplasty, commonly known as ear pinning surgery, is a surgical procedure aimed at correcting prominent ears or shape irregularities. During this procedure, the cartilage of the ear is reshaped and fixed in a position closer to the head, making the ears appear more proportional and symmetrical. It is often performed during childhood to reduce the risk of bullying at school, but adults also opt for this surgery for aesthetic reasons. Small incisions made behind the ear hide scars, ensuring that the results look natural. Thanks to advanced techniques, recovery time is quick, allowing patients to return to their social lives in a short time. In Turkey, otoplasty is one of the most common aesthetic surgeries due to safe surgical methods and experienced doctors.
Who Is a Good Candidate for Otoplasty?
Otoplasty is suitable for children and adults who are self-conscious about the shape or positioning of their ears in relation to the head. Ideal candidates are children over the age of 5, as ear development is largely complete by this age, ensuring that the correction will be permanent and the risk of shape distortion with growth is minimized. Adults also frequently undergo this surgery to improve their ear structure and enhance self-confidence. Individuals who have previously had ear surgeries or suffer from chronic ear infections are evaluated carefully. A good candidate should be in good overall health and not have any serious medical conditions. Realistic expectations are crucial, and the patient should maintain open communication with the doctor about the benefits of the surgery. Expert surgeons assess candidates through detailed examinations to determine the most appropriate treatment plan.
How Is Otoplasty Performed?
Preparation Process
Before otoplasty, the patient’s ear structure is thoroughly examined, and the current position of the ears is assessed. During the examination, the patient’s expectations are discussed, and appropriate planning is made. Generally, preoperative tests such as blood tests and a general health check are performed. In pediatric patients, the involvement of parents in the process is essential. Prior to the surgery, patients who smoke are advised to quit, and the use of blood-thinning medications is stopped.
Incision Sites and Technical Details
During the surgery, a small incision is made behind the ear along the natural fold. This allows access to the cartilage, which is then reshaped. If necessary, excess cartilage is removed or the cartilage is sculpted into a new shape. The ear is then repositioned closer to the head and secured with stitches. Since the incision is made behind the ear, it remains hidden, and over time, it fades away. The techniques used are tailored to each patient’s ear structure to achieve a symmetrical appearance.
Surgery Duration and Anesthesia Options
Otoplasty typically takes 1 to 2 hours. In young children, the procedure is usually performed under general anesthesia to ensure that the child remains still and experiences no discomfort. In adults, local anesthesia and sedation may be sufficient. The choice of anesthesia depends on the patient’s age, health status, and the surgeon’s recommendation. After the surgery, the ears are wrapped with a bandage, and the recovery process begins.
Postoperative Recovery Process
First Days and Bandage Use
In the first few days after surgery, a special bandage or dressing is used to protect and stabilize the ears in their new position. This bandage protects the ears from impacts and unintended movements. Mild pain, swelling, and itching may occur, but these can be managed with prescribed medications. It is important not to remove the bandage without the doctor’s advice.
Returning to Normal Life
Typically, the first follow-up appointment occurs within a week, and after the bandage is removed, an elastic headband is recommended to support the ears in their new position. This helps the ears fully adapt to their new placement. Most patients can return to their school or work activities within 1 to 2 weeks. However, it is advised to avoid activities like sports that may involve trauma to the ears for a few weeks.
Stitch Care and Follow-Up Appointments
The stitches used in otoplasty are typically absorbable, so additional stitch removal is usually not required. The surgeon monitors the recovery process through regular follow-up appointments and detects any complications early. Paying attention to ear hygiene and following the doctor’s advice is critical for a smooth recovery.
Potential Risks of Otoplasty
Like any surgical procedure, otoplasty carries some risks. Rarely, bleeding, infection, or slow healing at the incision site may occur. In some patients, temporary numbness or slight asymmetry in the ears may develop, but this usually resolves on its own. Strict adherence to postoperative care instructions minimizes the risk of complications. The risk is extremely low when performed by an experienced surgeon using proper techniques.
What to Expect After Otoplasty
After otoplasty, patients typically notice that their ears are positioned closer to their heads, more symmetrical, and aesthetically more balanced. Mild swelling, bruising, or slight discomfort may be observed in the first days, but these issues usually decrease significantly within a week. Using a bandage and protective headband helps maintain the new shape of the ears. Avoiding sudden impacts to the ear area, following hygiene rules, and attending follow-up appointments are essential for a smooth recovery process. Most patients can return to their daily activities within 1 to 2 weeks. The final aesthetic result will be evident within a few months once the swelling completely subsides, and the results are permanent. This surgery not only prevents peer bullying in social environments for children but also enhances self-confidence and has a positive psychological effect on adults. A successful otoplasty provides a natural ear shape that complements the patient’s facial features, minimizing aesthetic concerns.
Frequently Asked Questions
Is otoplasty permanent?
Yes, the results of otoplasty are permanent as the ear cartilage is reshaped and fixed closer to the head. However, very minor changes in shape may occur in rare cases.
Will there be visible scars after the surgery?
The incisions are generally made behind the ear or in natural folds, so there will be no visible scars, or they will fade over time.
At what age can otoplasty be performed on children?
Otoplasty is generally performed from the age of 5 onward. By this age, ear development is largely complete, so corrections are permanent and shape distortion does not occur as the child grows.
Will there be pain after the surgery?
Mild pain and itching are normal in the first days. These symptoms can be easily controlled with the prescribed pain relievers.
How soon can I return to my daily activities after otoplasty?
Most patients can return to school, work, or social life within 1 to 2 weeks. However, activities that involve trauma to the ear area, like intense sports, should be avoided for a few weeks.
What type of anesthesia is used during the surgery?
General anesthesia is typically used for children, while local anesthesia and sedation are often sufficient for adults. The type of anesthesia is determined based on the patient’s health condition.
Will otoplasty affect hearing?
No, this surgery only corrects the shape and position of the ear, with no impact on hearing.