Ear Surgery (Otoplasty)

If you are considering otoplasty surgery for your child, we recommend they have the surgery prior to starting school in order to avoid any bullying or psychological distress. Many adults elect to have it done as well.

Otoplasty is an outpatient surgical procedure, and may be performed under general anesthesia (asleep) or local anesthesia (awake with the area numbed). Dr. Kayem will choose the otoplasty procedure that suits your ears, reshaping the cartilage to provide a better silhouette, and hiding incisions behind the ears. Any post-surgery pain is minimal and easily addressed with over-the-counter medication. You’ll probably be able to take off your bandages in a few days, though bruising and swelling may last a bit longer.

Typically considered an aesthetic surgery, otoplasty is usually not covered by insurance.

As an otolaryngologist (ear, nose and throat doctor), Dr. Kayem has intricate knowledge of the anatomy of the ear, and is well versed in the ear’s structural function as well as aesthetics.

After surgery, the ears are covered with bandages for protection and support. The bandages are removed at a follow-up visit a few days later, when the ears are usually swollen and red. You may be asked to wear a loose headband over the ears at night for a few weeks, so the ears are not pulled forward while you sleep.

During recovery:

• Avoid sleeping on your side, and do not rub or press on the incisions.
• Button-down shirts or loose collars make dressing easier.
• Some stitches dissolve on their own; others are removed at a follow-up visit.
• Ask Dr. Kayem when you can resume bathing, exercise, and other activities.

Otoplasty changes the shape and position of the outer ear. It does not change where the ears sit on the head, and it does not change hearing.

As with any surgery, otoplasty carries risks, including bleeding, infection, and a reaction to anesthesia. Other risks include:

• Scars, usually placed behind the ear or within its natural creases
• Ears that do not look fully balanced after healing
• Changes in skin sensation, which are usually temporary
• A reaction to the surgical tape or dressings
• Stitches that work their way to the surface and need to be removed
• Ears that look pulled back too far (overcorrection)