Ear Pin Back (Otoplasty)
Otoplasty or ear surgery is completed on an outpatient basis in our comfortable surgery facility.
If You’re Considering Ear Surgery
Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears.
For the most part, the operation is done on children between the ages of four and 14. Ears are almost fully grown by age four, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient.
If you’re considering ear surgery for yourself or your child, this information will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask Dr. Mabourakh if there is anything you don’t understand about the procedure.
Planning Your Surgery
Dr. Mabourakh recommends that parents stay alert to their child’s feelings about protruding ears; don’t insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome.
In the initial meeting, Dr. Mabourakh will evaluate your child’s condition, or yours if you are considering surgery for yourself, and recommend the most effective technique. He will also give you specific instructions on how to prepare for surgery. Dr. Mabourakh recommends that parents stay alert to their child’s feelings about protruding ears; don’t insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome.
In the initial meeting, Dr. Mabourakh will evaluate your child’s condition, or yours if you are considering surgery for yourself, and recommend the most effective technique. He will also give you specific instructions on how to prepare for surgery.
Where Your Surgery Will Be Performed
Ear surgery is usually performed as an outpatient procedure in a hospital in Sacramento, the doctor’s office-based surgical facility, or a freestanding surgery center.
Types Of Anesthesia
If your child is young, Dr. Mabourakh may recommend general anesthesia, so the child will sleep through the operation. For older children or adults, he may prefer to use local anesthesia, combined with a sedative, so you or your child will be awake but relaxed.
Ear surgery usually takes about one hour, although complicated procedures may take longer. The technique will depend on the problem.
With one of the more common techniques, Dr. Mabourakh makes a small incision in the back of the ear to expose the ear cartilage. He will then sculpt the cartilage and bend it back toward the head. Non-removable stitches may be used to help maintain the new shape. Occasionally, Dr. Mabourakh will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete.
Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage.
In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance.
Getting Back To Normal
Adults and children are usually up and around within a few hours of surgery.
The patient’s head will be wrapped in a bulky bandage immediately following surgery to promote the best molding and healing. The ears may throb or ache a little for a few days, but this can be relieved by medication.
Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Be sure to follow Dr. Mabourakh’s directions for wearing this dressing, especially at night.
Stitches are usually removed, or will dissolve, in about a week.
Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery. Children can go back to school after seven days or so, if they’re careful about playground activity. You may want to ask your child’s teacher to keep an eye on the child for a few weeks.
Other Ear Problems
Besides protruding ears, there are a variety of other ear problems that can be helped with surgery. Gauged ears, large or stretched ear lobes or lobes with large creases and wrinkles can be improved.
More Natural Looking Ears
Most patients, young and old alike, are thrilled with the results of ear surgery. But keep in mind, the goal is improvement, not perfection. Don’t expect both ears to match perfectly-perfect symmetry is both unlikely and unnatural in ears. If you’ve discussed the procedure and your expectations Dr. Mabourakh before the operation, chances are, you’ll be quite pleased with the result.
Torn earlobe is a frequent occurrence. Piercing an earlobe puts it at risk to tear. The size, style and weight of an earring can contribute to the stretching of the earlobe opening. Large earrings that dangle are caught on clothing or grasped by a child. The result may be a partially or completely torn earlobe. Repair of a torn earlobe occurs in the plastic surgery office setting using a local anesthetic.
The procedure consists of “freshening” the edges of the split and placement of sutures to complete the repair of the earlobe. The stitches are removed in a week. If repiercing is desired this can be accomplished three months after the earlobe repair.