What is it and how is it done?
Surgical treatment in prominent or separate ears is called otoplasty, and allows to
associate the correction of other alterations, such as mal-rotation, enlargement and
disproportionate sizes or asymmetries between both ears.
Basically, it consists in accentuating the reliefs of cartilage as ante-helix, and
attenuating the depth of the shell, until recreating the desired shape, in addition to
obtaining the greatest possible symmetry with the contralateral ear. There are other
possible gestures such as correcting deficient, excessive or torn lobes.
In any case, the technique is designed not only individually but for each of the ears.
What are the requirements for this improvement?
The development of the auricular pavilion has been established at 4 years of age ,
from that moment its correction can be proposed. During the first school stage, the
influence that the deformity may have is evident, and its correction is contemplated
to prevent consequences of social maladjustment.
Meanwhile, in the adult, for the remarkable improvement that entails.
There are more pronounced deformities, such as contracted, accumulated ears, “In
the cup,” which are also treated with otoplasty variants .
The fundamental objective is to obtain a natural appearance , without artificial
The plastic surgeon with his integrative vision, also contemplates a reparative aspect
of other congenital deformities such as those with poor development ( microtia ) or
absence of the flag (anotia). Also its repair by partial mutilation or loss.
Ways to perform otoplasty
We always do it in the operating room of an approved hospital, under general or local
anesthesia depending on the age and degree of collaboration.
The procedure is variable according to the anomalies to be corrected. It begins with
a posterior approach that conceals any visible scar, and allows us to establish specific
modifications in each cartilage, previously weakening it to prevent recurrence of the
deformity. Then proceed to anchor anchoring the appropriate sutures. Finally, the
excess skin is discarded, obliterated with a self-absorbable suture , and we apply a