Ear Pinning Surgery

Otoplasty (Ear Pinning or Pinnaplasty) - Correcting Prominent Ears

Dr. Imani is a specialist facial surgeon in Perth with extensive experience in performing otoplasty (ear pinning surgery) for both children and adults with prominent or misshapen ears.

Prominent ears are often a hereditary condition caused by a lack of the usual anatomical folds in the ear's cartilage framework, excessive or malpositioned cartilage, or deformities in the surrounding soft tissues (such as skin, fat, and muscle). Otoplasty is the surgical procedure used to reshape and reposition the ears by bringing them closer to the head or reducing the angle by which they protrude from the temple.

When to Consider Otoplasty

Otoplasty is often considered when the appearance of prominent ears becomes a concern.  Early intervention is particularly beneficial for children, as their ears are almost fully grown by age five. 

Otoplasty is commonly performed on children between the ages of five and 14, although adults may also choose to undergo the procedure. The cartilage in younger patients is more pliable, making the surgery easier with an easier, quicker recovery or healing. 

For more information or to schedule a consultation with Dr. Imani for ear pinning surgery in Perth, please contact us today.

What Does the Procedure Involve?

Otoplasty involves creating a small incision behind the ear to expose the ear cartilage. The cartilage is then sculpted, reshaped, or reduced as needed to correct the prominence of the ears. Permanent sutures are placed in the cartilage to secure the new shape and position. Excess skin is removed, and the incision is closed with sutures. A soft dressing is applied to the ears for several days to protect them while they heal.

The incision is strategically placed behind the ear, ensuring that any resulting scar is thin and discreet, hidden in the natural creases behind the ear.

Are There Risks Associated with Otoplasty?

As with any surgical procedure, otoplasty involves risks, which Dr. Imani will discuss with you in detail during your consultation. Our staff will also provide written information sheets outlining the procedure, risks, benefits, and alternatives.

Common Risks:

• Swelling and bruising (small amount behind the ear) : Typically temporary, but can last for several weeks.

• Pain or discomfort: Usually mild and managed with simple pain relief.

• Scarring: Some degree of scarring is inevitable, but usually hidden behind the ears.  The end result is linear scar that is not easily perceptible.

• Asymmetry: Ears may heal differently or have a slightly uneven appearance.  This is very common as not all ears are symmetrical to begin with.

• Overcorrection or under correction: Ears may be pinned back too far or not enough.

Less Common Risks:

• Infection: Can occur at the incision site; may require antibiotics or further treatment.

• Changes in skin sensation: Temporary or, rarely, permanent numbness around the ear.

• Bleeding or haematoma formation: Accumulation of blood under the skin may need to be drained.

• Suture complications: Internal stitches may work their way to the surface or cause irritation.

• Allergic reactions: Rare, but possible with anaesthesia or dressing materials.

Rare Risks:

• Poor wound healing: May result in thickened or raised scars (hypertrophic or keloid scarring).

• Need for revision surgery: Sometimes, further procedures are needed to improve outcomes.

Patient-Specific Factors:

Risks may be influenced by factors like age, general health, skin type, and adherence to post-operative care instructions.

Important Disclaimers

Any surgical or invasive procedure carries risks.

Individual outcomes and recovery times vary.

The information provided is general and educational in nature.

It does not constitute medical advice nor replace consultation with a qualified health professional.

We encourage all patients to seek a second opinion and consult their general practitioner for a referral before engaging in a surgical consultation.

Preoperative and Postoperative Care for Otoplasty

48 Hours Before Surgery:

• Wash your hair using antiseptic or tea tree oil shampoo to clean your ears, especially behind the ears.

Immediately After Surgery:

• Recovery Room: You will be monitored in the recovery room until you are fully awake. You may feel drowsy for about an hour after the procedure. A head bandage will be placed around your ears, which should be worn for the first 48 hours after surgery.

• Pain Management: Take the prescribed pain medications as directed by Dr. Imani and the anaesthetist. Ensure that you only take the antibiotics as instructed.

• Transportation: You will need someone to drive you home, as you will not be able to drive yourself post-surgery.

First Few Days:

• Head Elevation: To minimize swelling, keep your head elevated at approximately a 45-degree angle, especially while sleeping.

• Dressing Care: After 48 hours, remove the head bandage and start cleaning the incision site behind the ear twice a day. Apply the prescribed antibiotic ointment once daily. Keep the surgical area clean and dry for five days. Afterward, wash your hair with an antiseptic or tea tree oil shampoo. For the next four weeks, wear a soft headband at night (ensure it does not apply excessive pressure on the ears).

First Week:

• Physical Activity: Limit strenuous activities and avoid heavy lifting or vigorous exercise for at least one week.

• Sun Exposure: Protect your ears from direct sunlight. If sun exposure is unavoidable, wear a wide-brimmed hat.

First Month:

• Sleeping Position: Continue sleeping with your head elevated for several weeks. If this position is uncomfortable, you may lay flat.

• Swimming: Avoid swimming or submerging your ears in water for at least four weeks after surgery.

• Follow-up Appointments: Attend all scheduled follow-up appointments with Dr. Imani at two weeks and six weeks after surgery.

Long-Term Care:

• Protection During Contact Sports: If you participate in contact sports, consider wearing protective headgear to safeguard your ears from injury.

• Scar Care: Generally, no special care is required for the scars. If you notice unusual itching or abnormal growth of the scar (which is rare), contact us for advice.

• Swelling and Bruising: Swelling and bruising are common and should subside within about 10 days. Be patient and report any significant swelling.

• Contact Us: If you experience severe pain, excessive swelling, or signs of infection (such as increased redness, warmth, or discharge), please contact Dr. Imani immediately.

Important Information and Disclaimers:

• Any surgical or non-surgical procedure carries risks.

•  Individual outcomes, results, experience and recovery times vary based on individual’s genetics, environmental factors, diet, exercise, sun protection, smoking and general health. Individual’s outcomes are only relevant for that individual and they do not necessarily reflect or guarantee the same outcome for another individual given the same treatment.

•  The information provided is general and educational in nature.

•  It does not constitute medical advice nor replace consultation with a qualified health professional.

•  We encourage all patients to seek a second opinion and consult their general practitioner for a referral before engaging in a surgical and non-surgical consultation with us.

Still have questions?

Contact us to arrange your consultation with Dr Imani.