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Otoplasty

(Cosmetic ear surgery or ear reshaping)

Keeping it simple

What is Otoplasty?

Oto stands for ear and Plasty stands for moulding/surgical repair.

This cosmetic ear surgery is performed to reshape, reconstruct, or replace a deformed, defective or missing external ear (pinna).

Cosmetic otoplasty: The ear pinning surgery or otopexy where a large ear or extruding ears are “pinned” back towards the patient’s head.

Reconstructive otoplasty: A surgery to develop the outer ear after injury or ear augmentation to correct severe congenital defects of the ear like Microtia or Anotia. Other congenital defects of the ear such as Cagot Ear, Cat’s Ear, Scroll Ear, Lop-Ear and Wildermuth’s Ear can also be corrected.

Otoplasty can be carried out after the ears have reached their standard size which is usually after the age of 5 years old.

With adults, it is important to know that the ear is fully developed, and will not remould after surgery as easily as the softer cartilage which children have.

Keeping it simple

The Otoplasty Procedure

Ear pinning combines removal of the skin from the back of the ear, cartilage sparing and scoring with nonabsorbable mattress pull back sutures. This combination of techniques helps the surgeon to construct the ideal shape and better positioning of the patient’s ears.

There are two techniques that are commonly used to perform ear pinning or ear reshaping during otoplasty:

Otoplasty Surgery Group

Cartilage sparing

In this technique, a surgeon uses stitches and sutures to change the ear’s position and shape. A cartilage sparing otoplasty surgery is non-invasive, often resulting in smooth, natural-looking curvatures.

Otoplasty Surgery Group

Cartilage scoring

In this technique, a surgeon creates incisions(cuts) in the cartilage to rearrange, add, or remove the tissue. There is a greater risk of scarring when this technique is used, but those scars are difficult to see.

In both cases, your surgeon will begin by making a small incision at the back of your ear, allowing access the cartilage for the necessary procedure. After the surgery is complete, the cartilage is then reshaped and excess skin is removed. Finally, if necessary, the ear is repositioned more closely to the head, before the incision site is secured with stitches. Once the otoplasty surgery is complete, the patient’s head will be wrapped with special heavily-padded cotton bandages, referred to as “fluff bandages”, for healing. The actual surgery will last about 2-3 hours, depending on the complexity of the procedure for your particular case.

In the case of reconstructive otoplasty, cartilage can be removed from the patient’s ribs to augment the ear and help it to gain a more natural look. If a skin graft is necessary, the tissue is usually transferred from the patient’s upper buttock area.

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Otoplasty

Downtime and Recovery

For a few days after surgery, the patient can remove the fluff bandages, but we recommend wearing a lighter bandage for another few days. Approximately one week following the procedure, all bandages can be removed. To heal properly we recommend the following aftercare:
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Keeping it simple

Otoplasty Results

Otoplasty gives immediate results in cases of protruding ears, the outcome of which can be seen once the dressings, that support the new shape of the ear during initial phases of healing, are removed. As the ears after surgery are permanently positioned closer to the head, surgical scars are either hidden behind the ear or in the natural creases of the ear. The outcome of more extensive cosmetic otoplasty and reconstructive otoplasty may appear in stages over time. The patient can return to school or work within a week of the surgery. Regular activity and exercise can restart within two weeks. If you’re unsatisfied with your results, ask your surgeon about the possibility of revision surgery.

The goal of otoplasty is to surgically correct protruding or deformed ears. Otoplasty will not alter hearing ability. What is important for successful otoplasty is that the ears align in proportion to the size and shape of the face and head.

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Working with COVID-protected facilities

Working Safely

  • Routinely asking patients for relevant COVID-19 history of their own health and people they are in contact with. It is important that patients provide accurate information.
  • Following social distancing guidelines by limiting the contact of patients with one another whether in consultation or in a procedure and will arrange waiting room seating accordingly.
  • Using suitable equipment/PPE (Personal Protective Equipment) as recommended by the Centre for Disease Control (CDC) or another equivalent governmental agency.
  • Routinely using relevant health histories and daily temperature monitoring of all clinic staff and patients as part of their strategy to prevent contagion. Additionally, and where available, follows all government guidelines on use of testing to monitor staff.
  • In addition to using proper PPE, each clinic uses appropriate cleansing, disinfecting and sterilization procedures throughout the office/clinic. Also, uses proper waste disposal methods for any materials that could be contaminated.
  • Advising patients of handwashing protocols in the office/clinic and how to change gloves, gown and masks.
  • Assuring the public that the staff have received additional training with regards to proper COVID-19 infection control methods
  • And perhaps most importantly, the surgeon you have chosen is the one performing the surgical steps of your procedure, rather than delegating it to unlicensed technicians.

 

Clinic Advice

Regarding COVID19, we are working with selected COVID-protected facilities who have now reopened. These clinics have started a phased return model for a new normal with various safety measures in place including a limited number of procedures, reduced footfall through the clinic and enhanced PPE for staff. On the day, you will be asked to complete a COVID questionnaire and have your temperature taken on entry, as well as being asked to wash your hands. You will be asked to wear a face mask so that theoretically you are protected and you protect staff members in case anyone happens to be positive whilst asymptomatic.

Surgery Group have adopted guidelines from the International Society of Hair Restoration Surgery for use in all clinics taking into account UK law and each clinic has completed a COVID19 risk assessment of the patient journey through the clinic and taken steps to minimise risk, and we hope that by doing so, the risk of contracting coronavirus is significantly less than your weekly supermarket shop, however, it is not possible to guarantee that the risk of catching it is zero, such as in the nature of the virus.

To be clear, the government’s advice for the time being remains to stay at home unless you need to leave the house for one of 4 reasons including “any medical need” –

Corona Virus Government Advice

Without specific national guidance on hair transplant clinics, we deem it safe to offer the service in a limited capacity with the measures we have taken, but it is up to you to decide if leaving the house to attend a hair transplant clinic constitutes a “medical need”.