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Definition

Otoplasty, also known as ear pinning surgery, is a cosmetic procedure designed to change the shape, size or position of the ears. It is commonly performed to correct ears that stick out too far or to reshape them for a more balanced look.

Alternative names

Ear surgery; Ear pinning; Ear reshaping; Cosmetic ear surgery

Description

Otoplasty is a reconstructive surgery and is considered a type of facial plastic surgery that reshapes the ears to improve their appearance. It addresses concerns such as large, protruding or misshapen ears. A plastic surgeon makes incisions behind the ears to minimize visible scarring. Occasionally, cartilage may be removed or the ear repositioned to create a more natural look. The cosmetic surgery typically lasts 2-3 hours, depending on complexity.

Good candidates include children over the age of 5, when ears have fully developed, and adults who want to improve the appearance of their ears. The otoplasty procedure can also fix deformities from congenital deformities or injuries.

Treatment

Otoplasty treats cosmetic concerns like ears that stick out too far or are disproportionately large. It can also correct birth defects or injuries. This procedure is usually done on an outpatient basis, under local anesthesia for adults or general anesthesia for children.

Before the procedure

Before otoplasty surgery, you’ll consult with a board-certified surgeon who will assess your goals and medical history. The surgeon will explain the details of the surgery, including the type of anesthesia used and the steps involved. You may be asked to avoid certain medications and smoking to help with healing.

After the procedure

After otoplasty, you may experience swelling, bruising and discomfort, which typically subside within a few days to a week. A special bandage or headband will be worn to protect the ears, especially during sleep. You will need to avoid activities that put pressure on the ears, such as sports, for several weeks. Most people can return to work or school within 5-7 days. Full recovery takes about six weeks, though the final results may take a few months to appear fully.

Potential side effects

Possible side effects include:

• Infection
• Swelling and bruising
• Scarring (though incisions are hidden behind the ears)
• Hematoma (blood collection under the skin)
• Asymmetry or uneven results
• Numbness in the ear area
• Reactions to anesthesia

Following your surgeon’s aftercare instructions can minimize these risks.

Outlook

The outlook for otoplasty is generally positive with long-term results. The initial recovery period is 1-2 weeks, with most people returning to normal activities within a week. A full recovery may take up to six weeks. Scarring is minimal as incisions are made behind the ears. Otoplasty results are permanent, though the ears may change naturally with age.

Related specialties

• Plastic surgery

This entry was written by Jennifer Cruz-Urbano, marketing specialist, and reviewed for accuracy by Kalyan C. Dadireddy, MD. Generative AI was leveraged as part of the content creation process.