An Otoplasty Miami often known as the ear reduction or ear pinning procedure aims to reshape and decrease the size of an excessively protruding ear. This reduction occurs all while alleviating secondary side effects brought on by large ears. Our article will cover the ins-and-outs of this procedure, ideal candidates, prices, frequently asked questions, top ear surgeons in the area and so much more!
Otoplasty had been widely practice in India, since 5th century BC. Much of the modern day, Otoplasty techniques draw from that ancient tradition. Otoplasty, in essence, means reshaping of the ear. When performed, the patients wish to alter the shape, not the function of the ear.
Usually, older men and women with very large ears undergo this process; however, even children have been known to undergo this procedure! Others who receive the surgery have overly large conchal bowl. As an ear reshaping corrective surgery, Otoplasty can correct ear birth defects or malformations that occurred as a result of injury.
Usually, this process gets done with local anesthesia. Some patients cannot sit still for hours. For fidgety patients, a mild sedative may be applied to have them sleep through the operation. Everyone, ranging from older to children can get an ear surgery. If protruding ears bothers your child, he may be eligible for surgery. Even a mild change can help the patient feel better about their appearance.
The plastic surgery procedure differs according to the area that must be targeted. Most often, there will be an ear incision created on the outside region of the ear and will not be virtually visible throughout normal day activities. Therefore, individuals will not be able to tell that you underwent a surgery since the scars are untraceable. In cases of serious birth defects, a complete reconstruction of the ear region may be necessary due to the high volume of damage done.
During this procedure, the most common use of anesthesia is local; however, children are required to undergo this reconstructive surgery under general anesthesia. The Surgeon’s technique will be applied throughout this type of procedures to achieve the best and most natural results.
Ideal candidates for the otoplasty are those suffering from self-confidence issues brought out by their ear appearance. If you wish to make your ears less noticeable, you may be the perfect candidate for this procedure! You must however be in good standing health with no underlying chronic heart, lung, nerve, or skin condition.
Children undergoing this procedure must be at least 5 years old or have already achieved full ear development. Adult patients or parents to younger patients must also have realistic expectations for the outcome of the ear surgery. They will always need to be fully prepared to understand the recovery and after-care instructions.
The otoplasty procedure provides a number of benefits to patients including both emotional and physical advantages. Emotionally, patients no longer have to suffer with the embarrassment of having protruding ears. The lack of self-esteem will lessen as you will no longer be teased about your or your child’s appearance. You will find that you have a newly found confidence and feel great about your appearance once again after undergoing the ear pinning procedure.
Some of the physical benefits include:
At Jolie Plastic Surgery, we offer the best ear surgeons available within the area. They are highly trained to give you your desired appearance based on your goals. Below are the procedural techniques we offer within our surgery center:
The antithetical fold has a Y shape and is located at the center of the ear. Individuals with congenital ear malformations tend to have antithetical fold manipulation. They lack cartilage to shape the whole ear. During this procedure, the surgeon will first make a surgical wound on the ear cartilage at the fold. The shape is defined by applying pressure.
Sometimes the surgeon may rough up the antithetical fold’s front surface, which helps the cartilage to bend backwards facing the defined part of the ear. The antithetical can be corrected with a full incision. A full incision helps the surgeon apply some force in order to correct it.
The conchal shape is found before the ear hole. When this part is deformed, it can affect the antithetical fold shape. During this revision procedure, the surgeon can decrease the conchal angle by 25 degrees. After that, the conchal is sutured a bone below the ear called mastoid fascia. Sometimes the doctor may choose to remove part of the conchal’s thickness. After that, the surgeon will suture the conchal in order to hide the procedure scars. Both techniques can also be combined.
Reconstructing the earlobe takes time and patience; mostly, because the external ear has been moved two thirds up. This shift, combined with a prominent earlobe, makes the ear look disproportionately big in comparison with the rest of the head. First, the doctor cuts the skin over the medial region of the earlobe skin. He then takes off a small bite of the conchal undersurface.
Lastly, he pulls the earlobe toward the region he removed from the conchal. He sutures both together, thus implementing the change.
Sometimes, the upper third of the pinna has too much prominence. When the ear reduction operation of the Antithetical fold does not help, surgical correction may be needed. The first alteration focuses on ear augmentation. Basically, the doctor adds extra cartilage to the underdeveloped areas of the ears. This cartilage may be taken from other parts of the ear or the rib cage.
This change corrects the underdeveloped or absent pinna, or external ear. In an ear pin back, the patient needs their ear flattened against their head. The surgeon makes an incision behind the external ear. He then cuts a small tunnel along the front of the badly form Antihelix, of the tail part of the Y. Then, he loosens the conchal and moves it closes to the head, after he removes excess skin.
The ear pinning doctor then sutures the antithetical fold, in order to have the earlobe match the proportion of the pinna. During ear reduction surgery, the doctor cuts excess tissue from any prominent part of the ear.
Patients who suffered an accident, have cancer, or no external ears may require reconstructive surgery. To reconstruct the entire ear, the surgeon takes cartilage from the patient’s ribs. This cartilage then gets structured into the patient’s skin, on the location where the new ear gets reconstructed. This skin then envelopes the ear prosthesis. Once in place, the surgeon recreates the pinna and all the other key structures needed to form the ear. During the follow up surgeries, the surgeon forms the earlobe while separating the pinna from the rest of the head.
About 20-30% of babies come to this world with deformed ears. Such deformities usually change with time. Non-surgical methods can correct bat ears, elf ears, lack of curvature of the top part of the ear, flattened cauliflower ear, etc.
The infant has more malleable pinna, due to the remnants of the mother’s estrogen circulating in the blood. During that time, such minor birth defects can be easily corrected. Via the methods of Taping, Designed splits, EarWell, and Ear Buddies the defect can be corrected through ear reduction. These techniques can only be used effectively and produce optimal results during the first 6 weeks.
Before the operation, parents must talk to their children and take them to the preliminary consultation. They need to inform the school of how many days their child needs to miss. They also need someone to take care of them at all times. Putting age aside, the patient must stop taking aspirin for at least two weeks before the operation. For smokers and alcohol drinkers, they must stop for at least two weeks, as well.
All patients need a clean bill of health before undergoing the ear reshaping operation. They must also cut their hair short or braid their long hair. This gives the doctor more freedom during the operation. You must tell your doctor about all the medicine you are taking. Patients should stock up on prescribed pain medications. These medications usually must be taken for at least 2 to 3 days.
On the day of the surgery, patients must wear loose clothing. They should avoid restrictive collars that must be pulled over their heads. For children, they must avoid wearing, in the future, anything that bends or pulls at their ear. Patients can rest more comfortably in the surgical bed, the Anesthesiologist then applies the anesthesia.
Depending on the age, the otoplasty surgeon may use general or local anesthesia. The procedure can take roughly two hours, depending on the type of procedure performed. Children and some adults may require staying in the hospital overnight. Most adults should plan to have someone drive them home or look after them during their hospital stay.
According to our patient experiences and the ASPS, results of ear reshaping surgery are to be seen and noted immediately. There will however be minimal discomfort and swelling which can me managed through proper pain medication. According to the ASPS:
“Ear surgery offers near immediate results in cases of protruding ears, visible once the dressings that support the new shape of the ear during initial phases of healing are removed. With the ear permanently positioned closer to the head, surgical scars are either hidden behind the ear or well-hidden in the natural creases of the ear.”
Like any other operation, Ear Surgery has some risks worth noting. With surgical corrections, the patient runs the risk of having scarred ears. Luckily, otoplasty scars remain hidden behind the ear.
Changes during the healing process may make your ears asymmetrical. Sometimes, stiches may rise to the surface of the skin, and may need to be removed. This may cause inflammation of the skin and may require the patient to undergo surgery.
Other problems include over corrections which makes the ear look unnatural. Sometimes the ear may get an infection or a blood clot. At worst, patients may see a gradual reversal of the surgery. Another complication involves numbing of the surgical area.
During the first few days, the patient has to wear a bandage dressing over the ears. Patients must avoid putting pressure over their newly operated ears. Needless to say, they must sleep on their backs. When showering, patients must avoid getting the dressings wet. After removing the bandages, the patients have to wear a loose headband, covering the ears, before sleeping. A tight headband may erode the surface of the ear and reopen the wound. Excessive rubbing or pressure may cause necrosis, or premature death of ear skin cells.
Depending on the ear reshaping procedure, the recovery time may range from 7 to 10 days. Some patients may return to work after 72 hours, depending on their hair style. Even after the recovery period, for 10 weeks the patient must avoid straining the ear. Bruising and swelling of the ears usually lasts 2 to 3 weeks. Children may return to school after four days. Still, they should not do physical education for at least three weeks.
As for adult patients, for three weeks they should not do any aerobics, bending, lifting or straining since it delays the healing process. After surgery, the patient should eat only liquids. They should advance to solids at their own discretion. They must always drink plenty of liquid to avoid dehydration.
Otoplasty is a complex decision process. The surgery cost is determined based on the patients’ desires, previous injuries, and anatomy. The cost will be determined during your initial consultation. Depending on the method, Otoplasty prices range from $1700- $7000. Complete ear reconstruction will cost more.
According to the ASPS:
“The average cost of otoplasty is $3,154, according to 2016 statistics from the American Society of Plastic Surgeons. Otoplasty cost can vary widely. The average fee referenced above does not include anesthesia, operating room facilities or other related expenses. A surgeon's cost for ear surgery may vary based on his or her experience, the type of procedure used, as well as geographic location. Many plastic surgeons offer patient ﬁnancing plans.”
The insurance does cover otoplasty when it corrects a deformity or a congenital defect. You must speak with your insurance company to discover what it exactly covers. You can ask your surgeon to write a letter to your insurance explaining the nature of the surgery. When you undergo surgery for cosmetic reasons, the insurance does not cover it.
If you opt to undergo this procedure as a cosmetic enhancement, Jolie Plastic Surgery offers a variety of ear surgery financing plans through systems like Care Credit in which the patient would need to be pre-approved. We also accept in-house payment plans that only require a minimum deposit. Patients can also take advantage of Our “Lay Away Plan” which requires a minimum deposit of $500 at a 0% interest rate! This plan includes the benefit of “locking” the price for up to TWO years by way of low monthly payments.
If you or a loved one are interested in this life-changing procedure, call Jolie Plastic Surgery at (305) 262-8347 so that you can embrace your appearance once again!
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