Ear Surgery

Ear surgery, or otoplasty, is a procedure designed to change the shape, size, or position of the ears. For many people, prominent or asymmetrical ears can be a source of self-consciousness from an early age. Otoplasty can set the ears back closer to the head, create a more balanced appearance, or address irregularities in the ear shape. The procedure is tailored to each patient, with the aim of achieving natural-looking results that complement the rest of the face. Whether performed for cosmetic reasons or to correct a structural issue present from birth or caused by injury, ear surgery can improve both appearance and confidence.

Procedure Overview

Otoplasty may be suitable for adults or children who are bothered by the size, shape, or projection of their ears. Common concerns include ears that stick out more than desired, ears that are uneven in size or shape, or misshapen ear cartilage due to injury or congenital conditions. Candidates should be in good general health, with no untreated ear infections, and have realistic expectations about the likely outcome.

Aim

The surgery aims to reshape the ears and set them closer to the head to create a more natural and balanced appearance.

At A Glance

Tailored to each patient, this procedure offers transformative results for improved confidence.

Expected results:

Natural-looking ears with improved shape and position

Treatment time:

1–2 hours

Anaesthesia:

Local or general anaesthesia

Recovery time:

1–2 weeks

Return to work:

1 week

Lifetime of procedure:

Permanent

Northwood Hospital - Ear surgery The Procedure

CONSULTATION

During your consultation, your surgeon will take the time to understand your concerns, what you hope to achieve, and any specific changes you would like to see in the shape or position of your ears. They will assess your ear structure, skin quality, and cartilage flexibility, and take photographs for planning purposes. Your options, including surgical technique, anaesthetic choice, and incision placement, will be discussed in detail, along with potential risks and recovery expectations. You will have the opportunity to ask questions, see before-and-after photos of previous patients, and receive personalised advice to help you make an informed decision.

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PREOP PREPARATION

Setting aside time to focus on preparation before you attend for surgery is important if you wish a successful outcome. Healthy eating (avoiding refined sugars, and ultra processed foods), reducing alcohol consumption and stopping smoking, vaping or taking recreational drugs is extremely important in the 6 weeks running up to surgery.

If you are unwell for any reason in the run up to surgery it is important to let your team know as occasionally it is safer to postpone any treatment until you are in full health. Please let your surgeon know if you are taking any herbal remedies, or blood thinners such as aspirin during your pre-op assessment as these may need to be stopped before surgery.

SURGERY

Otoplasty is either carried out under local anaesthetic with sedation, or general anaesthetic. The surgeon typically makes a small incision behind the ear to access the cartilage, which is then reshaped, repositioned, or reduced as needed. Stitches may be used to hold the cartilage in its new position. The incisions are closed carefully to minimise visible scarring, and a protective dressing or head bandage is applied to support the new ear shape during healing.

RECOVERY

You will usually be able to go home the same day as your surgery. A head bandage is worn for the first few days to protect the ears and help them heal in the desired position. After the bandage is removed, you may need to wear a soft headband at night for several weeks to prevent accidental bending of the ears during sleep. Mild discomfort, swelling, or bruising is normal and can be managed with pain relief medication. Most people return to work, or normal activities within one to two weeks, but strenuous exercise and contact sports should be avoided for about six weeks.

Frequently Asked Questions

Is ear surgery safe?

Yes. Ear surgery (otoplasty) is considered a low-risk procedure. Possible complications include infection, asymmetry, or changes in skin sensation, but these are uncommon when performed by an experienced surgeon.

Will I have visible scars?

Scars are usually placed behind the ear and are very discreet. With time and good care, they fade significantly.

Is the result permanent?

Yes. Once the ear cartilage has been reshaped and healed, the result is usually long-lasting.

What is the recovery like?

You will need to wear a headband to keep the ears protected and in position for several days, especially at night. Swelling and discomfort are mild and usually subside within a week.