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23.09.2014
These photos are published for reference only to provide information on the nature of the intervention. Ears that stick out, and Earlobes that have stretched or torn piercings, or that are elongated and long, can be a source of embarrassment.
If you are considering ear pinning surgery (Otoplasty) or earlobe repair, it is very important to choose the right surgeon. Otoplasty surgery, commonly referred to as Ear Pinning Surgery, is usually performed when a child reaches school age in order to avoid classroom teasing and long term emotional scarring. The goal is to move the ears back towards the back of your head while keeping them looking natural and not too flat, and to bring the ears into a more pleasing harmony with the rest of your facial features.
The best candidates for Otoplasty surgery are individuals who are physically and psychologically healthy, who are emotionally ready to understand the benefits, limitations and risks of this surgery, and who have realistic expectations for this procedure.
In some cases, more than one procedure may be necessary to improve the ear shape and ensure the best results. It is very important to choose the correct facial cosmetic surgeon to perform this intricate procedure, and Dr.
The positive results of Otoplasty (ear pinning) surgery are usually obvious as soon as your bandages are removed, and the self esteem benefits will last a lifetime.
Just like other areas in the face, earlobes tend to lose volume and elasticity over time, leading to elongation, sagging, creases and an over-all older appearance. Split ear lobes or long ear lobe piercings usually occur as the result of the weight of heavy earrings on pierced ears, stretchers or expanders that are used to enlarge earlobe piercings, or they may be caused by accidental trauma, such as an earring being pulled from your ear.
Keloid scars of earlobes are lumpy and large scars that can occur after ear piercings, particularly on the back surface of the top of the ears. Earlobe rejuvenation surgery hides one of the telltale signs of trauma or aging, and also has functional value since it allows your earrings to sit properly in your earlobe, rather than drooping off your ears, and can reverse the look of stretched ear piercings, which may no longer be appropriate for you.
A torn ear lobe cannot be just sutured shut without removing a thin layer of skin, or else the scar will contract and shrink upwards over time, leading to a mis-shapen ear lobe. After earlobe repair surgery, the stitches are easily and painlessly removed in about five to seven days, and ears may safely be pierced again in about 6 to 8 weeks. Fillers can also be used to add volume to a deflated earlobe and to correct earlobe wrinkles for months to years. The goal of earlobe rejuvenation is to create earlobes that have a more normal shape and size, which are in harmony with the rest of your facial features.
For more information about Earlobe Repair or Earlobe Rejuvenation procedures, please call our Calgary office at 403-450-3759 now and book a consultation with Dr. Although aging may be caused by the same factors, the rate at which it does so, researchers have recently discovered, is different.
Probably no other physical characteristic cries out for facial plastic surgery more than protruding ears. Adults may also benefit from this procedure, which improves self-esteem with relative ease.
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.
When considering otoplasty, parents must be confident that they have their child's best interests at heart.
Adult candidates for otoplasty should understand that the firmer cartilage of fully developed ears does not provide the same molding capacity as in children. After the surgeon and patient decide that otoplasty is indicated, your surgeon will discuss the procedure.
Understanding The SurgerySurgery begins with an incision just behind the ear, in the natural fold where the ear is joined to the head.
In other instances, the surgeon will not remove any cartilage at all, using stitches to hold the cartilage permanently in place.
What To Expect After The SurgerySoft dressings applied to the ears will remain for a few days. Facial plastic surgery makes it possible to correct many facial flaws that can often undermine one's self-confidence.
Earlobe repair is a surgical procedure that is intended to correct abnormally shaped earlobes. Earlobe laceration repair is a very common office-based surgical procedure performed by facial plastic surgeons. In other earlobe repair patients, the laceration is significant enough to tear all the way through the lower border of the earlobe.
Over the last several years, earlobe gauging has become a very popular and trendy practice. Unfortunately, after stretching the earlobe to such a degree, the skin will not shrink back down on its own. To learn more about gauge earring repair using a case example of a large defect, use this link here. In some cases, patients present for earlobe reshaping because their earlobes are just too large for their liking. Earlobe reshaping can be performed to provide a more cosmetically pleasing appearance to the ear.
When dealing with a simple earlobe laceration (torn earlobe), the surgical repair process can be typically performed under local anesthesia in our San Diego office.


When dealing with earlobes that need repair following gauging, the procedure can be a little bit more involved. Earlobe reduction surgery for enlarged earlobes is very similar in terms of the surgical effort and recovery.
One of the most common questions we get asked regarding earlobe reshaping has to do with re-piercing of the ears following surgery.
To view real patient examples of earlobe reshaping surgery, including repair of torn earlobes, earlobe gauging and enlarged earlobes, please visit our online photo gallery page.
You may be a candidate for earlobe surgery if the appearance of your ears draws unwanted attention, detracts or distracts from your other facial features, or if you find the appearance of your ears unsatisfactory. In adults wishing to shorten elongated earlobes or repair torn or gauged earlobes, surgery may be undertaken in the office under local anesthesia, usually in about 1 hour.
The American Board of Facial Plastic and Reconstructive Surgery highly recommends that you choose a surgeon is specialty trained and certified in Facial Plastic Surgery. Zakhary usually performs Otoplasty or Ear pinning surgery in a fully accredited Calgary surgical facility, under general anesthesia, and typically this procedure can be performed within 2-2.5 hours. These rare risks include bleeding, infection, ear discomfort, possible recurrence of prominent ears over time, and reaction to anesthesia.
Zakhary has the training and skill required to provide you with the best education, information and best possible results with this surgery. Zakhary is one of the few facial cosmetic surgeons in Calgary who offers Earlobe repair surgery to repair torn or stretched earlobe piercings. Zakhary can also shorten the earlobe using a similar technique, in her office in Calgary, under local anesthesia. 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. Often, adults choose this surgery in conjunction with other facial plastic surgical procedures. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery.
A positive attitude toward the surgery is an important factor in all facial plastic surgery, but it is especially critical when the patient is a child or adolescent. A consultation with a facial plastic surgeon can help parents decide what is best for their child, not only aesthetically, but also psychologically and physically.
During the consultation, the surgeon will examine the structure of the ears and discuss possibilities for correcting the problems. Following a thorough medical history, your surgeon will explain the kind of anesthesia required, surgical facility, and costs.
The surgeon will then remove the necessary amounts of cartilage and skin required to achieve the right effect.
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. Brent Kennedy at the Institute of Facial and Cosmetic Surgery to scheldule a complimentary consultation. Brent Kennedy is certified by both the American Board of Cosmetic Surgery and The American Board of Oral & Maxillofacial Surgery. Some plastic surgeons consider earlobe surgery to be a subset of otoplasty, or ear reshaping. Purists will tell you that earlobe gauging is actually not the correct term, but most lay people are more familiar with use of this term to describe this practice.
This is shown in the adjacent earlobe photo, which is a patient of ours from San Diego who finally desired to have her gauge holes repaired.
This is a congenital issue that they are born with and not something that arises from an injury or prior procedure. Depending on the type of abnormality, the surgery can vary between something that is minimally invasive to a procedure that might entail more of a recovery period. This type of repair can usually take more like 20-30 minutes, but can be done under just local anesthesia in the office setting. Earlobe reduction also takes about 15-20 minutes to complete under local anesthesia with a very similar recovery period to surgical repair of torn earlobes and gauging. In most patients, the ears can be pierced once again in 8-12 weeks after the earlobe reshaping surgery. Earlobe gauging or stretching with large jewelry has become fashionable among some young people. Pearson’s practice offers in-office earlobe surgery for torn earlobes, stretched earlobes and gauged earlobes as well as skin cancer removal and reconstruction. Zakhary, an expert Otolaryngology - Head and Neck Surgeon, Facial Cosmetic Surgeon, can correct and improve these issues in her clinic in Calgary, Alberta. Zakhary, a specialty Otolaryngology - Head and Neck Surgery - Facial Plastic and Reconstructive Surgery Specialist in Calgary, also performs Otoplasty surgery on adults who have felt embarrassed or self conscious about their prominent ears for many years. Zakhary can remove a Keloid scar, and then maintains close follow up with you in order to monitor your healing and prevent the Keloid scar from recurring. Zakhary will be able to recommend a good ear piercing location in Calgary, Alberta for you to re-pierce your ears at the appropriate time. Kristina Zakhary, is a trained otolaryngologist-head and neck surgeon Specialized and Practicing Exclusively in Facial Cosmetic Surgery, who is Board Certified in Facial Plastic and Reconstructive Surgery.


Even if the ears are only mildly distorted, the condition can lead to self-consciousness and poor adaptation to school.
Not only is it possible to "pin back" ears, but ears can also be reshaped, reduced in size, or made more symmetrical.
Even if only one ear needs "pinning back," surgery will probably be recommended on both ears to achieve the most natural, symmetrical appearance.
Typically, your surgeon will suggest a general anesthesia for young patients and a local anesthetic combined with a mild sedative for older children and adults.
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. 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.
Because this scar is in a natural crease behind the ear, the problem of visibility is inconsequential. In most cases, earlobe reshaping involves an earlobe that was traumatically injured – like a torn earlobe.
They can also occur in patients who wear excessively heavy earrings that pull down on the earlobes.
As you can appreciate from the photo, once the gauge is removed, the skin simply begins to hang down due to gravity. For example, the adjacent photo is of one of my patients from San Diego who thought that her earlobe was too large compared with the rest of her ear. There is much more soft tissue that requires reshaping with earlobes that have been gauged, so the sutures may be more extensive compared with repair of a torn earlobe. In either case, patients often desire a more natural and less noticeable appearance to their earlobes. Ear pinning surgery is not as simple as it may seem, and requires precision, attention to detail, and the expert knowledge of the cartilage structure of the ears that Dr. She is skilled in the best techniques for repairing split ear lobes, shortening long sagging earlobes, repairing keloid scars, and correcting the overall shape of your earlobes. Dr.Zakhary never made me feel rushed, she always took her time to make me feel confident in the procedure and in her. What is important for successful otoplasty is that the ears be in proportion to the size and shape of the face and head. Headbands are sometimes recommended to hold the ears in the desired position for two weeks after the surgery. In other cases the earlobe is reshaped because of being altered from a prior piercing or gauging. In some patients this results in an elongated separation of the skin whereas in other patients an actual wedge shaped deformity can be seen along the perimeter of the ear. Gradually, a larger gauge can be placed over time to further stretch the earlobe to the desired size.In the adjacent diagram you can see visually what a gauge looks like after a larger one is eventually placed. In these instances, the skin has been stretched to the point where the elasticity (rubber band quality) has been lost. Despite this, the recovery process is about the same with sutures removed in 4-5 days and minimal pain overall. In rare cases, earlobe surgery is done to address a congenital problem that arose from birth, like excessively large earlobes. In the adjacent photo example, this patient was unlucky enough to have both types of deformities arise from the laceration of the earlobe. Patients who undergo repair of the earlobe following gauging have decided to stop the practice and wish to have the ear restored to a more normal shape. Since the earlobe can no longer snap back to its original shape and size, the skin begins to droop down without the gauge in place. In cases like this, plastic surgery can be performed to reduce the size of the earlobe to be more proportional with the remaining ear.
In essence, the remaining earlobe looks and feels like a small segment of rope looping down. Zakhary is uniquely trained in facial plastic surgery and cosmetic surgery of the ears, and she has the expertise required to beautifully correct torn or stretched ear lobes.
Needless to say, this is something that is not desirable once the decision is made to stop wearing the earlobe gauges.
Immediately adjacent to this, she had another earlobe piercing that was torn from her earring being pulled down accidentally (see red curve). In order to reshape the ear, a surgical procedure is required to close the opening and remove the excess soft tissue surrounding the earlobe.
This type of earlobe repair is much more complicated than correction of a torn earlobe as might be expected.



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