Ears and expertise: An insight into pinnaplasty

In his latest online article, Mr Simon Eccles give us his insights into pinnaplasty, also known as otoplasty, is a surgical procedure designed to correct prominent ears. Ear shape can vary significantly, and it is not uncommon for individuals to have ears that differ from each other. While ear cartilage becomes firmer with age, 90% of ear growth is typically completed by the age of 8. Pinnaplasty is a versatile procedure that can be performed at any age, from childhood to adulthood. Common concerns that lead people to consider pinnaplasty include asymmetrical ears and ears that protrude excessively from the sides of the head. These issues often result from a lack of proper ear cartilage folding, known as the anti-helical fold, and an overpronounced "concha" or bowl part of the ear. In some cases, both factors contribute to ear prominence.

Surgical techniques:

Over time, various surgical techniques have been developed to reshape ear cartilage. Some techniques involve cutting into or removing portions of the cartilage, which can yield successful results but carry a higher risk of complications. Mr Eccles prefers techniques that utilise sutures (stitches) placed within the cartilage to remodel and reposition it. This approach is less traumatic for the ear, reduces the risk of surgical complications, and provides a more natural appearance. The surgical incision is typically made behind the ear, concealing any resulting scar within the natural crease between the back of the ear and the scalp. While the surgery can be performed under general or local anaesthesia, it is generally recommended for younger children to undergo general anaesthesia.

Hospital stay:

In most cases, patients can return home on the same day following pinnaplasty surgery, regardless of whether it was performed under general or local anaesthesia.

Recovery duration:

Post-surgery discomfort is typically minimal and not painful. Some patients may experience bruising and swelling of the ears, which usually subside within four weeks. To safeguard against accidental tugging on the ear, a sports headband is advised to be worn consistently for the initial weeks and then only at night. For safety reasons, it is advisable to abstain from contact sports for several weeks.

Long-term results:

Pinnaplasty results are generally long-lasting, particularly when issues do not reoccur within the first six months following the procedure.

Mr Simon Eccles is a distinguished consultant craniofacial plastic surgeon with over 30 years of experience. You can schedule an appointment with Mr Eccles on his Top Doctors profile.