In plastic surgery, I feel that we often neglect to talk about ears, an overlooked body part which plays an important role in facial aesthetics. A few of my recent posts on social media and consultations in the office drew comments like “I didn’t know you could do anything about that!” So, let’s review some common ear concerns and procedures that may get you thinking.
Earlobe Injuries and Deformities
Earlobes – we’ve all got them. We pierce them, gauge them, and sometimes they thin out with age. Sometimes I use filler in the earlobes to give them a youthful plump. If you have a torn earlobe, this is easily repaired under local anesthesia and you can even re-pierce a few weeks later. Tired of your gauges? This too can be fixed with a minor surgical procedure where I remove stretched tissue and reconstruct a small earlobe. In older patients, an earlobe reduction can create a more youthful appearance and if often done in combination with a facelift. Scars from all of these procedures are usually limited and fade a lot with time.
Prominent Ears
Sometimes ears stick out more than we’d like. For girls and women, it can make them self-conscious when wearing a ponytail and both men and women may hesitate to cut their hair short. Kids with prominent ears are often teased or bullied in school.
I perform a setback otoplasty to correct the problem of prominent ears by reshaping and repositioning the cartilage. Sometimes a small amount of skin and cartilage is also removed through hidden incisions. This surgery can be done in children as young as 4 or 5, especially if they express a concern about it. In this case, the psychosocial benefits can be significant and risks are quite low. Kids typically get this done over summer break or before they start elementary school.
For adult patients, I perform this procedure with local anesthesia, and either oral or IV sedation. Social downtime is about a week or less, though time away from contact sports is about 2 months. Scarring is usually minimal and well hidden.
Large Ears (Macrotia)
Many men and women perceive their ears as being too large, because the height of their ears is taller than average. This may occur in young people or become an issue later in life, and negatively affects self-esteem and confidence. Most people have no idea that this too can be corrected with plastic surgery!
An elegant and relatively minor procedure called macrotia reduction, or reduction otoplasty, involves removing some cartilage and skin through hidden incisions. In this way, I am able to reduce the height of the ears into a more average range with minimal scarring, while leaving the shape of the ear looking normal. I perform this procedure under local anesthesia and either oral or IV sedation and social downtime is about also about a week.
Cosmetic procedures can have a very positive impact on your self-esteem and confidence. Always choose an experienced specialist certified by The American Board of Plastic Surgery.
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Advanced Cosmetic Surgery 
Board Certified Plastic Surgeon 
Boutique Aesthetic Practice & Medspa 
MedSpa - @capekmedspa![Losing the weight was a major accomplishment, but my beautiful patient still felt like something was missing in her overall shape. 🤍
She wanted to restore breast fullness and perkiness without implants, and to address the extra tissue near her armpits.
My surgical plan for her included a breast lift to reshape and elevate the breasts, natural breast augmentation with fat transfer to restore soft volume, and axillary breast tissue removal to create a smoother, more refined contour.
The goal was balance, natural fullness, and a seamless transition from chest to underarm.
Post weight loss transformations deserve thoughtful, personalized planning so the results feel just as empowering as the journey itself. ⭐❤️
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Our posts are for educational purposes and share general principles of aesthetic medicine and surgery. They are not intended to replace a personalized consultation, where recommendations may vary.
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Clinical photos/videos are of my actual patients, and I have their consent to display these images. All images are © Lucie Capek, MD, PLLC, and may not be used by others without written permission. Individual results may vary, and images do not guarantee the same results in other patients.
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A Surgeon’s Hands, A Woman’s Touch.
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Dr. Lucie Capek
Dr. Lucie Capek is a dual board-certified plastic surgeon, certified by both the American Board of Plastic Surgery and the Royal College of Physicians and Surgeons of Canada. With more than three decades of experience, she has perfected the art of blending surgical precision with artistic vision to create beautiful, natural results for her patients.
Throughout her distinguished career, Dr. Capek has helped thousands of individuals achieve their aesthetic goals with skill, compassion, and integrity. She is an active member of several esteemed professional organizations, including the American Society of Plastic Surgeons, The Aesthetic Society, the American College of Surgeons, the New York State Society of Plastic Surgeons, and the Medical Society of the State of New York (MSSNY).
Dr. Capek’s commitment to excellence and personalized care has earned her a reputation as one of the region’s most trusted and respected plastic surgeons.
