The Ear 

Ear deformities come in several shapes and sizes. Some ears are normally shaped, but protrude further from the head than is normal. This may happen on one or both sides and may happen from either overgrowth of the cartilage of the ear or excessive bone formation behind the ear. This is often a familial trait. Another common deformity of the ear is when the ear fails to fold naturally during development. This causes the antihelix to be flat and the upper portion of the ear to become cupped.

Other less common defects may occur. At times, the rim of the ear is abnormally shaped or the ear will be of an abnormal size. Knobs of abnormal cartilage may form as well. All of these defects may be improved with otoplasty which reshapes cartilage to help with overall appearance or how the ears are positioned. Many teenagers feel self conscious and shy due to prominent ears, and wear their hair long to camouflage their ears. Adults may wish to modify the projection, prominence, or contours of their ears to improve self perception. Individuals of almost any age are candidates for otoplasty or ear reshaping.

Need more information? 

If you would like to learn more about having an ear surgery technique that will suit you best, we invite you to meet with Dr. Nabil Fakih for a private consultation at our office.

 

Please contact us to schedule an initial consultation with Dr. Nabil Fakih to make an appointment. You may also fill out our contact form to make an appointment.

What is Otoplasty? 

Otoplasty surgery corrects prominent or protruding ears and sets them back closer to the head or reduces them in size. Folds and contours of the ears can also be defined and accentuated during otoplasty.

IDEAL CANDIDATE

OTOPLASTY ADVANTAGES

OTOPLASTY TECHNIQUES

OTOPLASTY STATS

• Prominent

• Overprojected ears

• Poorly defined ear folds

• Large ears in children, teens, adults

• Sets protruding ears closer to head

• Creates more natural ear folds

• Restores facial harmony

• Cartilage rotation otoplasty

• Cartilage scoring otoplasty

• Cartilage suturing otoplasty

• Cartilage reduction otoplasty

• Length: 2 to 3 hours

• Back to Work/School: 5 to 7 days

• Return to Exercise or Gym:

4 to 5 days (light cardio)

2 to 3 weeks (more strenuous exercise)

2 week swimming

When to perform surgery? 

A child’s ear is almost fully grown by the age of 5 or 6. Performing surgery at this time is ideal because cartilage is still soft which makes the ear easier to reshape and may result in a shorter healing time. Children at this age are also just about entering school and can have the procedure done before potential peer abuse may occur. Though this is the ideal age the surgery is very successful at any age including into adulthood.

 

What should I expect from my consultation? 

During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. Dr. Nabil Fakih will thoroughly discuss your (or your child’s) desires and expectations for otoplasty or ear reshaping surgery with you. He will conduct a thorough examination of your ears, their relationship to your head and facial proportion, and their relationship to each other.

After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information. All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery.

 

How is done the Otoplasty? 

Otoplasty may be done under local anesthesia in an adult, but for a child or someone who is anxious about surgery, sedation or general anesthesia may be recommendable. A small ellipse of skin is removed from behind the ear. Through this incision, the ear cartilage is weakened and reshaped with sutures or repositioned on the skull itself. Dr. Nabil Fakih uses Davis, Chongchet and Mustarde techniques to correct protruding ears.

 

What to avoid before surgery? 

It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.

 

Recovery 

Following surgery, a pressure dressing is placed on the ear, which must be left in place for five to seven days. When this dressing is removed and the sutures are removed, a compression dressing or a wrap should be worn on the ears at night. This is to avoid any accidental injury of the ears while sleeping. Pain is minimal following surgery and if any significant pain occurs, it should be reported immediately to your doctor. Contact sports should be avoided for approximately six weeks but regular exercise may be resumed once the sutures are removed.

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