Plastic Surgery Consultants, P. C. | Dr. Frank Letard
| 10265 Kingston Pike Knoxville, TN 37923 | P: 865.693.4150

Cosmetic Ear Surgery
Probably no other physical characteristic cries out for facial plastic surgery more than protruding ears. Children, long the victims of cruel nicknames like "Dumbo" or "Mickey Mouse", are the most likely candidates for otoplasty, but this surgery can be performed at any age after the ears have reached full size, usually a round five to six years of age. Even if the ears are only mildly distorted, the condition can lead to self-consciousness and poor adaptation to school. When it comes to otoplasty, conventional wisdom is the earlier the better.

Adults may also benefit from this procedure, which improves self-esteem with relative ease. Often, adults choose this surgery in conjunction with other facial plastic surgical procedures.

If you are wondering how otoplasty can improve the way you look, you need to know how otoplasty is performed and what you can expect from this procedure.

Planning for Surgery

Most surgeons recommend that parents stay alert to their child's feelings about protruding ears; don't insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome.

In the initial meeting, your 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 surgery Will be Performed

Ear surgery is usually performed as an outpatient procedure in a hospital, a doctor's office-based surgical facility.





Types of Anesthesia

If your child is young, Dr. LeTard may recommend general anesthesia, so the child will sleep through the operation. For older children or adults, Dr. LeTard may prefer to use local anesthesia, combined with a sedative, so you or your child will be 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. He or she will 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

Adults and children are usually up and around within a few hours of surgery. 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 Dr. LeTard's directions for wearing this dressing, especially at night.

Stitches are usually removed 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 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.