Reshaping a child's confidence with ear pinning surgery

It's no secret that kids can be cruel. Teasing and bullying can be particularly harsh for children with prominent ears. Ear pinning surgery, or otoplasty, can reposition the ears and empower children and adults to take control of their appearance and boost their self-esteem, reducing social stress and inspiring a new sense of confidence.

"This particular procedure is one that can really help the patient's self-esteem," said ASPS Member Surgeon Jeffrey Roth, MD, FACS.

He said otoplasty patients do not like how their ears look, and they commonly say they stick out too far.

"They typically have been teased about it," said Dr. Roth. "Young women often do not want to participate in sports, as they don't want to put their hair back in a ponytail. Young men will often wear their hair longer to hide their ears."

Repositioning the ear

An otoplasty operation is relatively simple. The plastic surgeon makes a small incision behind each ear that helps them reach the cartilage, the part of the ear that gives it shape. The surgeon carefully bends and shapes the cartilage to bring the ears closer to the head.

Sometimes, they remove some cartilage to help the ears lie flatter. The surgeon uses stitches to close the incision and keep the ear's new shape in place. They then wrap the patient's head with bandages.

While swelling can take months to subside, patients and their parents see the results immediately after surgery.

"Often, there is what we call the 'Hollywood moment,'" said Dr. Roth. "The patient is given a mirror. The bandages are removed. The patient starts crying, and the mother starts crying. It can make a large impact."

Minimum age for surgery

You're not alone if you're wondering when a child can get ear pinning surgery. ASPS Member Surgeon Nneamaka Nwubah, MD, was asked this common question.

"You want the ear cartilage to be fully developed, so generally, the youngest would be about age 14 to 16," said Dr. Nwubah.

Recovering from surgery

Surgeons often ask patients to use elevation and ice after surgery. Dr. Roth indicated the discomfort after an otoplasty procedure is usually well tolerated.

"Most folks will take some pain medicine for a few days and then go to an over-the-counter pain medication for a few days after that," said Dr. Roth.

Typically, the patient will wear a special dressing for a couple of weeks and a headband for a few weeks afterward. Dr. Nwubah advises her patients to take it easy for six weeks as sports and strenuous activity could cause a repair rupture.

"Essentially, only sutures hold the ears in place until the tissue scars in and adheres, which is why adherence to postop instructions is paramount," said Dr. Nwubah.

Considering ear pinning surgery

It's essential to consult with a qualified plastic surgeon to discuss expectations, potential risks and the surgical process before deciding on ear pinning surgery. Each patient's needs are unique, and a professional can provide personalized advice and support.

Otoplasty can significantly improve a person's appearance and self-confidence. However, like all surgeries, it carries some risks, such as infection, scarring, and changes in skin sensation. It's crucial to weigh these potential risks against the benefits and thoroughly discuss them with your surgeon.

Ear pinning surgery costs vary widely based on location, surgeon experience and facility fees. It's essential to check with your insurance provider, as some plans may cover the procedure if deemed medically necessary. The average surgeon's fee for otoplasty in the United States is $4,625, according to the 2023 ASPS Procedural Statistics Release. This is only part of the total price and does not include anesthesia, operating room facility fees or other expenses.

Most patients are delighted with the long-term results of ear-pinning surgery, and the improvements in appearance and self-esteem can last a lifetime.

If you or your child are considering ear pinning surgery, take the time to research, ask questions and find a board-certified plastic surgeon who is an ASPS member to ensure the best possible outcome. The journey to greater confidence and a more harmonious appearance may be just a consultation away.

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.