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How are prominent ears assessed?
Prominence may relate to the shape of the bowl of the ear or an upper fold that is less defined. Each ear is examined individually. A single technique does not suit every cartilage structure or cause of prominence.
How is surgery considered for children?
Assessment may begin around five to six years of age, depending on ear development and the child’s readiness. The child’s wishes, expectations, health and discussion with the family matter. An appearance difference alone does not make surgery necessary; adults can also seek assessment.
Which surgical methods may be used?
The incision is usually placed in the crease behind the ear. Sutures alone may create a fold and adjust the position in some ears. Others require cartilage reshaping, sometimes reduction of part of the cartilage, with supporting sutures.
The extent of cartilage work and suturing considers cartilage firmness, prominence and possible relaxation during healing. Whether skin stitches require removal depends on the type used and is explained after surgery.
How is anaesthesia chosen?
General anaesthesia is usually used in children. Adults may have local or general anaesthesia depending on the extent of surgery, individual needs and the anaesthetic assessment. The operation and discharge arrangements are discussed in advance.
What do dressings and recovery involve?
Pain, swelling and tenderness may occur in the first few days. A surgical dressing is usually worn during the first week. After review, a headband at night may be advised for up to one month. Dressings should not be excessively tight, and the ears need protection from impact or folding.
Returning to work and social activities may take about seven to ten days, depending on the activity and healing. The shape may settle over around three months. Follow the individual advice about sport, sleeping position and how long to wear dressings.
What are the risks and longer-term expectations?
Complications can include infection, a collection of blood, anaesthetic problems, noticeable scarring, asymmetry and relaxation of sutures or cartilage. Small differences between the ears may remain, and further correction can be needed. How the result holds depends on the technique and individual healing.
Results of any surgical or interventional procedure may vary from person to person.
The information on this page is for general information only and does not replace an examination, diagnosis or treatment. The right approach for you is decided after a consultation.
Frequently asked questions
Is there a fixed age for otoplasty?
Ear development, the child’s wishes and readiness are assessed together. Consultation may begin around five to six years of age. Age alone does not determine whether surgery is appropriate.
Can every prominent ear be corrected with sutures alone?
No. Suture-based reshaping may suit some ears; other structures require cartilage work as well. The method is chosen after examination.
Will there be a scar behind the ear?
The incision is usually in the crease behind the ear. The scar may fade, but scar-free healing cannot be guaranteed and individual wound healing affects its appearance.
How long are dressings needed?
A surgical dressing is usually worn for the first week. A night headband may then be advised for up to one month after review. The duration and fit are adjusted to the individual.
Can the ears become prominent again?
Sutures or cartilage can relax during healing, with some recurrence of prominence. Outcomes vary with the person and technique; perfect symmetry or an unchanging lifelong result cannot be guaranteed.
