Music to your ears: An examination of otoplasty procedures

When we take a moment to look in the mirror, we almost always notice our appearance, whether through a quick glance or a closer look. For many of us, this often involves noticing specific aspects of our appearance that we do not like.

Features like the nose and eyes are often a source of self-consciousness for people, but there are also some who dislike their ears. For those embarrassed by the look or shape of their ears, this can be a constant battle of readjusting one's hair or fixing other aspects of their appearance to distract or minimize.

However, did you know that there is a solution in the world of plastic surgery to improve the appearance of the ears? Otoplasty, which is a cosmetic ear surgery, boasts one of the highest patient satisfaction rates.

What is otoplasty, and what does it entail? Are there patients for whom this type of procedure would be better suited than others? How do you go about finding the right plastic surgeon for your otoplasty? We spoke with ASPS Member Surgeons Joseph Mele, MD, FACS, and Jeffrey Roth, MD, FACS, to gather more insight into this surgery and ear-related procedures.

A brief overview of otoplasties

Simply put, an otoplasty is the aesthetic surgery focused on the ears.

"Otoplasty is a relatively short, outpatient plastic surgery procedure that reshapes the ear and brings it closer to the side of the head," said Dr. Mele.

This type of procedure often has minimal need for revisions later. Each patient needs to be treated uniquely as there can be a wide array of aesthetic concerns with the ears, and not every otoplasty will be the same procedure.

"This word can apply to the repair of many types of abnormal ear shapes and sizes," said Dr. Roth. "This can range from making the ear less long, such as earlobe reduction, addressing misshapen ears, addressing ears with a defect or deficit of tissue, to the more common ear pinning, which is moving the ear towards the head."

While there is a great variety of means and methods to perform a successful otoplasty, there are a few key methods that are followed by most surgeons. These two methods involve modifying the shape of the ear's cartilage to enhance the appearance of the ear.

"Either placing sutures on the back of the ear cartilage to hold the ear back or scratching the front of the cartilage," said Dr. Mele. "Both methods allow the cartilage to bend naturally along the normal ear curves."

However, it's always important to note that the method used for each otoplasty does differ from patient to patient based on their unique needs and goals.

"It depends on the diagnosis and treatment plan," said Dr. Roth. "In some congenital deformities, new techniques of molding the ear and new materials are making a difference. As more modern techniques and materials are used, some may be less used. One needs to stay true to scientific principles to make an informed choice for the patient."

The otoplasty patient

What is unique about otoplasty is that there is no particular patient demographic that pursues this type of procedure more than others. In fact, otoplasty is a popular procedure among all ages and genders, with surgeons performing otoplasties on men, women and children alike.

While the demographics differ, there are specific commonalities between these patients.

"Most patients considering otoplasty are concerned that their ears are too big or that they stick out," said Dr. Mele. "Often, they have been teased and go out of their way to hide their ears. This affects all types of people. I have helped women who stopped participating in sports because they were uncomfortable wearing their hair up. I have helped men who refused job promotions because they did not want to cut their hair. I have helped children who were teased and embarrassed by their ears to gain self-confidence. Otoplasty is a great operation."

Getting the most out of your otoplasty

The first essential step in finding the right plastic surgeon to perform an otoplasty is to do your research. This can involve anything from reviewing options online to discussing potential surgeons with your primary care physician to asking trusted friends for word-of-mouth referrals.

"A good place to start is the ASPS website," said Dr. Roth. "These are all board-certified plastic surgeons. You can then take a look at their individual websites and get a feel for their practice, and if they perform the procedure."

When searching for the perfect surgeon to perform your otoplasty, it's also important to take their experience into consideration with this specific type of procedure.

"Otoplasty requires both surgical skill and an eye for artistic proportions," said Dr. Mele. "In the U.S., only about 5,000 otoplasties are performed a year, so it is not in the top ten, and many plastic surgeons do not do it."

Even if you've found the most experienced surgeon to perform your otoplasty, don't be afraid to ask them questions or ask to see examples of their work. Doing so can help you determine if they'll be able to help you reach your aesthetic goals and give you a better idea of their skill set.

"Plastic surgeons love to show off their skills, so they should have many examples," said Dr. Mele.

However, your otoplasty doesn't end with the surgery. Set yourself up for a successful recovery by being prepared. Talk to your surgeon about what you can expect following the procedure and how you should prepare both yourself and your space for the best recovery.

"Make sure that you have a place to recover, as well as enough time and support," said Dr. Roth. "This includes rides to the plastic surgeon's office postoperatively."

Following your surgeon's instructions during recovery is the best way to ensure proper healing in order to get the best results.

"Most plastic surgeons require patients to wear a complete head wrap for at least a week after surgery and a headband at night for at least three months after surgery," said Dr. Mele. "You should find a comfortable headband before surgery."

Boosting your confidence with an otoplasty

An otoplasty might be the right choice for patients who are unhappy with the appearance of their ears to enhance their self-confidence. This life-changing procedure can address the shape, size and protrusion of the ears, creating an appearance that aligns with the patient's aesthetic goals.

Consult with a board-certified plastic surgeon who is an ASPS member to see if an otoplasty is the right procedure for you.

"When we are face-to-face with another person, we look at their eyes and mouth in order to communicate, we don't focus on the ears," said Dr. Mele. "However, for someone concerned with the projection of their ears, the ears are the primary concern. This makes otoplasty one of the most personal and satisfying of the operations I perform."

Otoplasties are among the highest for patient satisfaction, with people reporting greater confidence levels and more satisfaction with their appearance.

To find a qualified plastic surgeon for any cosmetic or reconstructive procedure, consult a member of the American Society of Plastic Surgeons. All ASPS members are board certified by the American Board of Plastic Surgery, have completed an accredited plastic surgery training program, practice in accredited facilities and follow strict standards of safety and ethics. Find an ASPS member in your area.