Plastic surgery is often performed on the ears and can address a variety of concerns, from repairing torn or stretched earlobes, to setting back prominent ears and even reducing large ears. These procedures can be done in childhood or adulthood, depending on the problem. Besides her expertise in cosmetic surgery, Dr. Capek is Fellowship trained in Pediatric Plastic surgery and therefore has the added skills to treat young children with ear shape concerns.
If you’re considering ear surgery for yourself or your child, this information will give you a basic understanding of the various procedures we offer – when they can help, how they are 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 talk to Dr. Capek about any of our concerns.
Setback Otoplasty (Prominent Ears)
This is one of the most common types of ear surgery (otoplasty), and is usually done to set prominent ears back closer to the head. This operation is often performed on children as young as five, but we treat teenagers and adults with this problem as well. In children, prominent ears may be the source or teasing or bullying. In such cases, otoplasty is reasonable to consider, especially since our ears are almost fully grown by age five.
Setback Otoplasty is a popular procedure among both male and female adult patients as well and generally carries no additional risks. Lighter anesthesia and a quick recovery are advantages in this age group.
Large Ear Reduction (Macrotia)
Many men and women perceive their ears as being too large, sometimes 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 improved 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 adults, this procedure is often performed under local anesthesia and either oral or IV sedation, and social downtime is about a week.
Patients throughout the Capital District areas of Albany, Schenectady, Troy and Saratoga trust New York Plastic Surgeon Dr. Lucie Capek to perform their ear surgery. Many of our patients also travel from New York City, Vermont, Massachusetts and beyond to receive her skilled and compassionate care.
Before Your Procedure
Pediatric Patients: Most surgeons recommend 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 your initial consultation, Dr. Capek will evaluate you or your child’s condition, and recommend the most effective technique. She will also give you specific instructions on how to prepare for surgery.
Adult Patients: In order to have optimal healing and a low risk of complications, a healthy lifestyle is imperative. This includes no smoking or consumption of nicotine-containing products at least 3-4 weeks prior to and after your procedure. You will also receive specific instructions regarding medications to stop and recommended supplements to help healing.
If it is your child having surgery, we recommend general anesthesia so that they sleep through the operation. For teens or adults, we prefer to use local anesthesia combined with IV sedation, performed in an accredited outpatient surgery setting. In some adult patients, depending on the complexity of the procedure and the patient’s comfort level, we can perform the surgery in the office OR with local anesthesia and light oral sedation.
Ear surgery usually takes about one to three hours. The surgical technique depends on the problem. For setback Otoplasty, Dr. Capek makes a small hidden incision in the back of the ear to expose the ear cartilage. She sculpts and contours the cartilage to recreate a natural looking curve that rotates the ear back toward the head. Internal stitches are used to help maintain the new shape.
For Macrotia Reduction, Dr. Capek removes both skin and cartilage to reduce the height of the ears into a more average range with minimal scarring, while leaving the shape of the ear looking normal.
External stitches are typically dissolvable when the incisions are located behind the ears. In macrotia surgery, some removable sutures are used in hidden folds in the front of the ear.
After Your Procedure
Adults and children are usually up and around within a few hours of surgery and are then discharged home. The patient’s head will be wrapped in a bulky bandage immediately following surgery to maintain the new shape of the ears and promote healing. The ears may throb or ache a little for a few days, but this can be relieved by medication and the discomfort usually mild.
Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Be sure to follow your surgeon’s directions for wearing this dressing, especially at night. Stitches are usually removed, or will dissolve, in about a week.
Children can return to school in about a week and most adults can go back to work in that timeframe as well. Any activity in which the ears might be bent should be avoided for 2 months. As a result, children will be restricted in their playground or sports activities and potential contact sports are to be avoided. Many children have this surgery over the summer break to minimize conflicts with school and sports.
What are the risks?
When ear surgery is performed by a qualified, experienced surgeon, like Dr. Capek, complications are infrequent and usually minor. However, with any operation, there are risks associated with surgery and specific complications with this procedure. The most common complication for set-back otoplasty is some recurrence of prominence of the ear over a period of months. A small percentage of patients may develop bleeding under the skin of the ear in the first few days after surgery. If a clot forms, it may dissolve naturally or may need to be drawn out with a needle. Infections are rare but may develop in the cartilage, which can cause scar tissue to form. Such infections are usually treated with antibiotics. Rarely, surgery may be required to drain bleeding or clean out the infected area.
Earlobe Injuries and Deformities
Earlobes are often pierced, torn or gaged and they thin out with age. We
perform plastic surgery on the earlobes for a variety of reasons.
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 gages? This too can be fixed with a minor surgical procedure where stretched tissue is removed and a smaller earlobe is reconstructed. In older patients, an earlobe reduction can create a more youthful appearance and is sometimes done in combination with a facelift.
Complications associated with these relatively minor procedures are uncommon. Minor bleeding or infections may occur, as well as the formation of abnormal scars. In most people, however, scars from these procedures are limited and fade a lot with time.