Ear Surgery (Otoplasty)
Otoplasty surgically reshapes prominent or protruding ears to create ears that lie closer to the head in a more natural position. Prominent ears, often called bat ears, result from an underdeveloped antihelical fold or excessive conchal bowl depth. The procedure is suitable for children from around age five to six (once ear growth is nearly complete) through to adults of any age. Early correction in childhood can prevent years of teasing and associated psychological distress.
What does an Otoplasty procedure involve?
Your surgeon will assess ear prominence, the degree of antihelical fold development, conchal bowl depth, symmetry, and skin quality. For children, psychological readiness and the child's own desire for surgery are important factors.
Surgery takes one point five to two point five hours. In children, general anaesthetic is used; adults may opt for local anaesthetic with sedation. An incision is made behind the ear in the natural crease. The cartilage is reshaped using a combination of techniques:
Suturing (Mustardé technique): Permanent sutures fold and reshape the cartilage to create or enhance the antihelical fold. This is the most widely used technique and produces smooth, natural contours.
Scoring: The cartilage is weakened on its front surface to allow bending into a more natural shape.
Cartilage excision: Excess conchal bowl cartilage is removed if depth is contributing to prominence.
Both ears are usually operated on together to ensure symmetry. A padded head dressing is applied and worn for several days.
Your Recovery
Some discomfort and throbbing are expected in the first few days. After five to seven days, the dressing is replaced with a lighter headband. A protective headband, particularly at night, is worn for four to six weeks to prevent accidental bending during sleep. Children can return to school within one week but should avoid contact sports and rough play for six weeks. Adults can return to desk work within five to seven days.
Risks and Complications
Infection, particularly of the cartilage (rare but potentially serious)
Haematoma between skin and cartilage
Asymmetry or over-correction
Irregular cartilage contours or sharp edges
Suture extrusion
Recurrence of prominence if sutures fail
Altered ear sensation (usually temporary)
Telephone ear deformity (middle portion too flat while upper and lower portions remain prominent)
Need for revision surgery
Frequently Asked Questions
Will the ears look natural after surgery?
A well-performed otoplasty creates natural-appearing ears that go unnoticed. The goal is for ears to be normal-looking rather than obviously corrected.
How long do results last?
Results are typically permanent. Partial recurrence may occur if sutures loosen, but this is uncommon.
Will otoplasty affect hearing?
No. The procedure only reshapes the external ear and does not affect the ear canal or hearing.
THE SPECIALIST CLINIC DUBLIN
Plastic, Reconstructive & Aesthetic Surgery performed with Care & Compassion
To discuss whether otoplasty is suitable for you or your child, contact us to arrange a consultation. For children, we ensure the child is comfortable and involved in the discussion to confirm the surgery is something they want for themselves.