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Ear Pinning or Otoplasty is an operation designed to create more normal-looking ears for people whose ears protrude excessively from the side of the head.
For children, otoplasty is usually performed while under general anesthesia on an outpatient basis or for a very short stay. Otoplasty, or ear pinning surgery, is the surgical reshaping of the outer ear to correct deformities or improve the aesthetic appearance. An idea candidate also has good to excellent health and is desiring this procedure to improve their quality of life. He will then examine the structure of the ears relative to the head and determine candidacy for otoplasty surgery.
Under light sedation or local anesthesia, incisions are made along the back of each ear, in the natural fold where the ear is joined to the head. Headbands are given in the office for patients to wear continually for five days and then just at bedtime for an additional 7 days. Following otoplasty surgery, patients report a greater sense of self-confidence and satisfaction with their overall appearance. Without insurance coverage, the total cost will vary depending on where the procedure is performed and how long it will take. The non surgical ear pinning is gentle and riskless and involves no bandages, no pain and no scars. Our non surgical ear pinning gently moulds the ear and the treatment is carried out at home with support from our online team. Your non surgical ear correction starts with a free photo assessment which is evaluated by email. Choose a starter kit that fits your needs and age and you are ready to start your non surgical ear correction. Choose our non surgical ear correction if you want to avoid the pain and the risks of ear surgery. Ear pinning (Otoplasty) is the perfect remedy for people with overly large or protruding ears.
Although a protruding ear does not affect a person’s hearing it can somehow cause a few discomfort. To correct protruding ears, a surgeon will have to make an incision on the back surface of the ear. Otoplasty is a minor procedure that alters the shape of the ears and can improve the appearance of protruding or asymmetric ears. This problem is more common in men than women and seems to be associated more with English descent.
The problem starts at birth and is due to a congenital lack of curvature of the cartilage within the ear. Correction of this failure of cartilage curvature requires a pinnaplasty procedure to surgically removing skin and applying sutures strategically to re-create this bending of the cartilage. A completely different type of problem is the underdeveloped ear or one that has never developed at all. The nice thing about correcting protruding ears is that the ear is easy to numb with lidocaine.
At botonics, our prices are fully inclusive and consultations are always with the surgeon who does the procedure for you.
Our prices for otoplasty surgery start at just ?2,400, and financing for this cost is available. Since most of our otoplasty procedures can be done under a local anaesthetic on a pure out-patient basis, no overnight hospital stay is required. Clients are very pleased with the results of their otoplasty surgery and enjoy an increase in their confidence and well being linked to an improved physical appearance. If you’re ready to stop dreaming about improving the shape, position or proportion of your ears and start living with them, click on the Contact us link below to book a free consultation with our otoplasty surgeon. Free consultationArrange a free, no obligation consultation with the specialist that will treat you. Request call backA knowledgeable coordinator will ring you back at a time of your convenience for a discrete, no obligation discussion.
Remote asessmentSend us your photographs for a specialist to review and provide a preliminary opinion.
Clients from outside the UKConveniently organise your consultation and procedure to take place during your visit. Ask an expertAsk us about any of our treatments and their relevance to your particular needs. In order to understand the actual deformity that contributes to an overly prominent ear, one must first have basic knowledge of the relevant terms and anatomical landmarks used when discussing otoplasty. The adjacent photo is provided to help guide your learning and is an actual post operative photograph of one of my patients. The helical rim, or helix, (1) corresponds to the outer border  of the ear and should ideally be a smooth, continuous curvature that goes nearly 270 degrees around the auricle.
The lobule (4) is the fleshy portion of the auricle where most females get their ears pierced.
Now that we have a foundational understanding of the terms and anatomical landmarks of the ear, let’s use this knowledge in evaluating the overly prominent ear.
The red line indicates the vertical height of the ear, which is normally around 60 millimeters from top to bottom.
Therefore, I rarely have to make adjustments in this particular measurement when performing otoplasty.
On close-up of this patient’s left ear, you can better appreciate how her antihelix is poorly developed (red arrow). One of the goals of otoplasty, or ear reshaping, in this type of patient would be to create the natural antihelical fold, which would essentially bend the ear back closer to the head.
On lateral view of the ear, one can see that the auricle appears to stick out directly toward you. In this particular patient example, you cannot even see where the antihelix would be due to the severe lateralization of her ear. On base view of the average otoplasty candidate, you can also see how the auricle literally sticks out off of the side of the head. As is seen in the adjacent diagram, the normal angulation off of the side of the head is around 30 degrees give or take. This base view can be particularly telling when it comes to assessing the overly prominent ear.
By looking at these three views of the ear, you should now have a fairly clear understanding of what the average otoplasty, or ear reshaping, candidate looks like. Otoplasty, or ear reshaping, is done on an outpatient basis in our fully accredited AAAASF certified ambulatory surgery center at The Hilinski Clinic. The ears are injected with a novacaine-like solution that provides a complete numbing sensation. The otoplasty technique that I use involves incisions made entirely behind the ear in 99% of the cases (see adjacent intraoperative photo of the standard otoplasty approach in my office).
Cosmetic ear reshaping patients are always curious about what they will look like immediately after this type of plastic surgery. A somewhat bulky compression wrap is then placed around the head to hold the ears in position and minimize chances of hematoma formation (unwanted blood clots under the skin). In general, cosmetic otoplasty can usually be entirely from behind the ears so that scarring is kept to a minimum in terms of visibility. You will be prescribed a narcotic pain medication (typically Vicodin) to keep you comfortable for the first 5-7 days. You will be recommended to wear the compression wrap around your ears continuously for about one week. Anyone considering otoplasty, or ear reshaping, should be aware of the fact that your ears will look overcorrected during the first few weeks following the surgery. A realistic goal in otoplasty is to achieve an improvement in the size and shape of the ears such that there is little obvious difference between the two sides. Keep in mind that in some cases of otoplasty, a minor touch up procedure may be necessary to account for unwanted and uncontrollable scar tissue formation and cartilage relaxation. I hope this otoplasty primer has provided you with sufficient information to help you make the most informed decision possible regarding your ears.
Most otoplasties are performed on children so the correction is completed before a child can be teased or ridiculed, as can often happen. For teens or adults, ear pinning is a very comfortable operation to have on an outpatient basis and can even be done under local sedation. The goal of all the ear pinning methods is to create ears that look more normal without visible scars.

If you are interested in more information about an otoplasty, we suggest you make an appointment with one of La Jolla Cosmetic Surgery Centre’s board certified plastic surgeons.
Otoplasty surgery is most commonly performed to correct overly prominent or protruding ears. Ear pinning surgery is an outpatient surgery that can be done under light sedation in the surgical center or under local anesthetic in our office. Thompson takes great interest in helping young children and adolescents to feel more confident and self-assured through otoplasty surgery.
Scott Thompson, a double board certified facial plastic surgeon in Utah, has extensive experience performing otoplasty surgery. The procedure will be discussed in detail with all risks and benefits evaluated at that time for you to make an well informed decision.
Thompson’s Patient Care Coordinator, will then provide a detailed quote for the surgical cost as well as anesthesia and facility if applicable. The skin is loosened and the cartilage is reshaped with sutures positioning the ears in a natural position, closer to the head. When a satisfactory result has been achieved, a dressing is placed over both ears and any necessary prescriptions can be started. Most patients report mild discomfort and may experience slight disruption in sleep patterns if accustomed to sleeping on their side. Boys will often cut their hair after having kept it long to cover their prominent ears prior to surgery. Surgery to correct or improve birth defects or injuries may receive partial or full coverage depending on the insurance plan. Our non surgical ear pinning for all ages is painless and allows you to avoid the risks of surgery.
After the evaluation your non surgical ear correction can start using our discreet easy to use products. The primary purpose of this surgical procedure is to re-shape the ears which have been badly formed, whether at birth or due to an injury.
If you are a parent looking for ways to correct your child’s protruding or deformed ears, you should consider Otoplasty. In some cases, the incision is made on the front of the ear within its folds to remain unnoticed. Aharonov performs all Otoplasty surgeries in an AAAHC accredited outpatient surgery center in Beverly Hills.
Otoplasty procedures are available in the UK from botonics at our prestigious Harley Street clinic, in the heart of London’s private medical district.
Normally, the ear cartilage bends backward toward the scalp, but in people with protruding ears this curvature never occurs and the ear remains protruding outward. In the vast majority of cases, the pinnaplasty incision is located completely behind the ear.
One, this area behind the ear heals exceptionally well with little scar tissue; and, two, the location of the pinnaplasty incision is hidden. If you want to know what you’ll need to do after your procedure, see our Otoplasty Precare and Aftercare Instructions. Those are just 2 of the 10 reasons why you should choose botonics for your otoplasty surgery. The best candidates are men, women and children physically healthy and realistic in their expectations. We usually do our otoplasty procedures in our purpose built minor surgical theatre in Harley Street, which is approved by the Care Quality Commission for otoplasty surgery. Hilinski to further educate and inform potential patients considering possible ear reshaping. In fact, the most common complaint that I hear from potential otoplasty patients is that their ears stick out too far from their head. The term auricle refers to the external structure of the ear that is attached to the side of the head. The helix is composed of a thin rim of cartilage with tightly wrapped skin overlying the cartilage.
What is unique about this structure is that, unlike other areas of the auricle, there is no cartilage underlying the skin of the lobule. In order to gain a complete understanding of what needs to be addressed during the otoplasty procedure, several different views are necessary. Fortunately, it is actually somewhat unusual to see otoplasty patients whose ears are significantly larger than average in this particular dimension.
This is accomplished by placing permanent sutures from behind the ear to bend the cartilage structure to the desired shape. Although lateral photos do not demonstrate the true three-dimensionality of the prominent ear, you can still appreciate the fact the ear is abnormally positioned. In the typical otoplasty candidate, this angulation is opened up to about 45 degrees and in many cases much more. In younger patients (usually 5-15 years old), otoplasty is typically done under a general anesthetic or IV sedation. This minimizes any chance of visible scars when looking at the ears from the front and side. This includes creation of the antihelix, reduction and repositioning of the conchal bowl, and reshaping of the lobule of the ear as necessary.
To answer this question, we have provided the following photos that show what the average otoplasty patient experiences.
This wrap is usually removed within 1-2 days and replaced with a more comfortable compression wrap that can be taken on and off by the patient. In addition, you will be given a prescription for an oral antibiotic to take for about one week following the otoplasty. Thereafter, you can typically go without the wrap during the day, but it is recommended that you replace the wrap during the evening and while sleeping at night. This is done intentionally to account for relaxation of the ear cartilage that will inevitably take place during the first few months. Unfortunately, there will always be some degree of asymmetry between the ears, even after a well-performed otoplasty procedure. Simons Archives and Heritage CenterWays to Participate Capital Campaign About the Campaign Campaign Update Member Donors Corporate Partners Recognition Program Planned Giving1887 Annual Giving Annual Report Donate Contact Us Trust your face to a facial plastic surgeon Ear Surgery Understanding OtoplastyProbably no other physical characteristic cries out for facial plastic surgery more than protruding ears. Surprisingly, ears have reached about 80% of adult size by age five or six, so an ear pinning operation during childhood is appropriate. The most common methods leave a scar on the back of the ears that is essentially invisible unless the ear is folded forward. Please call La Jolla Cosmetic Surgery Centre, San Diego, at (858) 452-1981 for more information on our cosmetic surgery procedures, including earlobe reduction plastic surgery. Many report years of bullying with cruel nicknames like “Dumbo” & “Mickey Mouse” or have parents looking to correct the problem before the bullying begins.
On top of 10 plus years of experience with otoplasty surgery in private practice, he’s also traveled to South America twice per year to perform ear surgery for children for over 10 years. It is important not to put any pressure on the ear areas for approximately one week following surgery. And many girls are excited to finally be able to wear their hair pulled up with confidence.
All our products are proven by medical tests and the day products are invisible, allowing a discreet treatment. A grown-up man may be unable to wear certain accessories like a headphone without people noticing his misshapen ears. If noticed within 6 weeks of birth, it is possible to reshape the cartilage by just molding it into proper position without surgery. These are much more difficult problems and may very well be associated with other congenital problems.
Our patient primer on otoplasty provides fairly detailed information regarding ear reshaping presented in a fashion that most patients will understand quite easily.
The antihelix exists because the underlying cartilage folds upon itself during normal development.
In many otoplasty patients, the conchal bowl is overly developed and excessively large for the ear. This is on average 18-25 millimeters as measured from the surface of the scalp just behind the ear to the helical rim.
What many otoplasty patients do not realize is that it is normal to see undulations and ridging of the ear. In this particular case, she would also need to have the conchal bowl reduced in size thus further bringing the ear closer to the side of the head. When you look closer, as seen in the adjacent photo, you cannot even see all of the normal structures of the ear. The reason is because the auricle is angulated away from the surface of the head, thus limiting visualization of the normal anatomical landmarks.

In the adjacent photo the red curved line indicates more where the helical rim, or outside border of the auricle, should be positioned. This change in angulation translates into a significantly more lateralized ear that appears much more prominent. In older patients, otoplasty can be done under local anesthesia (like going to the dentist) with or without oral sedation (with something like Ambien or Valium). For the most part, these maneuvers are done with use of permanent sutures that hold the ear in its new position and shape. These photos show a female patient who underwent ear pinning for overly prominent ears using the techniques discussed above.
As you can see in this male otoplasty patient’s before and after cosmetic ear surgery photos, the scars were made along the backside of the ear. If overcorrection of the ears is not done at the time of the otoplasty, you will risk losing much of the improvement that is seen early on.
Expecting perfection following otoplasty (and any other type of cosmetic procedure) is simply unrealistic. 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 around five to six years of age.
If, for some reason, an otoplasty was not performed in the early years, it is a straightforward operation for teens and adults, as well. All of the normal risks of any operation including infection and thick or wide scars can occur. If done in a facility under light sedation, there will be 2 additional fees for anesthesia and facility. In many cases the lobule protrudes outward much like the cartilage does in the overly prominent ear. It is when these undulations and ridges are missing that the eye is naturally drawn to this area. By comparison, take another look at the appearance of a normal ear as seen above in our discussion. When reducing the conchal bowl prominence, there is typically some degree of cartilage removal but only as necessary to accomplish the desired goal. The photos show her appearance within minutes of successfully completing the otoplasty surgery, just prior to applying the compression dressing. Go ahead and click on the photo to see a more detailed, close-up view of the back of his ears. This helps ensure that your ears remain stable and in the desired position during the first couple of months of healing. Other potential risks of otoplasty include infection, bleeding, and abnormal scarring (such as hypertrophic and keloid scar). In those that might need a touch up procedure, it is usually performed after waiting 4-6 months and is typically much less involved than the original otoplasty.
Even if the ears are only mildly distorted, the condition can lead to self-consciousness and poor adaptation to school. Thompson will make sure this is something the potential patient is desiring will strive to make this process as comfortable as possible, especially for young children.
This experience, coupled with his artistic abilities allow him to help you achieve the aesthetic look that you desire. If, however, it does bother you, there are plastic surgical options that are very effective at correcting the problem. Fortunately, in most cases of otoplasty the helix does not need to be directly reshaped or altered. It is the norm to see this ridging of the cartilage as it courses through this segment of the ear. The end result of having such a deep bowl is the entire ear gets pushed out farther away from the side of the head, which contributes to an overly prominent ear. However, since the lobule does not contain any cartilage, specific maneuvers have to be performed separate from the cartilage contouring in order to bring it closer to the head. By virtue of not having this natural fold in the cartilage, the ear then sticks out further to the side of the head. You should now be able to easily appreciate the differences between a normal and abnormal lateral view. With prominent or overly large ears, these patients can potentially be the target of ridicule from other kids.
Once the ear reshaping has been completed, the incision is closed behind the ear with absorbable sutures. You will see that the scars are present along the back surface of the ear, but they are not very visible. In the first few days to weeks following otoplasty, the ears look as if they are somewhat stuck to the side of the head.
It is often desirable in children to consider this surgery before they start Kindergarten or first grade“My ears always stuck out, one more than the other. Thompson’s Patient Care Coordinator, provides exact total for all fees at the consultation. Some patients are able to comfortably return to their usual routines a week after the procedure. It will move passively when adjacent structures are reshaped, but there is little direct manipulation of the helix in most otoplasty patients. In fact, it is precisely when the antihelix is poorly formed or even absent that the ear looks abnormal (see discussion and photos below). So from a social perspective, timing of otoplasty around this age is considered nearly ideal if it can help avoid this type of unwanted social pressure. In this manner, there are really no sutures that need to be removed in the postoperative period.
After several more months of healing, these scars will become even less visible – to the point of being barely noticeable even when someone is standing directly behind you. There is barely any angulation of the auricle off of the head and the normal anatomical landmarks on the surface of the ear are barely visible. Because the fold does not exist, the cartilage spreads out flat across a wider surface area, thus making the ear stick out farther than average.
Accurate assessment of the antihelix is a critical step in evaluating candidates for otoplasty as this has to be commonly addressed to achieve optimal results. Many patients, for one reason or another, simply do not have their surgery performed early on in life.
It was awful when I went swimming because when my hair got wet, my ears would stick through it. Instead, they present as young adults, middle-aged and even elderly patients seeking otoplasty. As the days and weeks go on, the ears will begin to assume their desired shape and the surface contours will start to look more normal. The surgeon will then remove the necessary amounts of cartilage and skin required to achieve the right effect. In some cases, the surgeon will trim the cartilage, shaping it into a more desirable form and then pin the cartilage back with permanent sutures to secure the cartilage.In other instances, the surgeon will not remove any cartilage at all, using stitches to hold the cartilage permanently in place. After sculpting the cartilage to the desired shape, the surgeon will apply sutures to anchor the ear until healing occurs to hold the ear in the desired position.A change in shape will not affect hearing. If you are accustomed to sleeping on your side, your sleep patterns may be disrupted for a week or so because you cannot put any pressure on the ear areas.
Headbands are sometimes recommended to hold the ears in the desired position for two weeks after the surgery.The risks are fairly minimal, but include very rare infections, poor healing or possibility of recurrence of the deformity.
Because this scar is in a natural crease behind the ear, the problem of visibility is inconsequential.
Anything unusual should be reported to the surgeon immediately.Facial plastic surgery makes it possible to correct many facial flaws that can often undermine one’s self-confidence.
By changing how you look, cosmetic surgery can help change how you feel about yourself.Insurance does not generally cover surgery that is purely for cosmetic reasons. Surgery to correct or improve birth defects or traumatic injuries may be reimbursable in whole or in part.

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