Category Archives: Otoplasty

Otoplasty – New York City – Dr. Charles Thorne – Ear Surgery

With an international reputationin cosmetic and pediatric plastic surgery, Dr. Charles Thorne is an expert in the surgical treatment of ear and facial deformities. He is a graduate of Yale University and the UCLA School of Medicine and received his residency training at the Massachusetts General Hospital and the Institute of Reconstructive Plastic Surgery at NYU.

Since starting his private practice in 1989, Dr. Thornehas spent nearly three decades performing, teaching, and writing about plastic surgery and ear reconstruction. In that time, he has held leadership positions within national and international professional societies, including Chair of the American Board of Plastic Surgery, President of the American Society for Aesthetic Plastic Surgery in 2019.

Dr. Thorne served as a teacher in thePeace Corps in Ghana, West Africa for two years between 1974-1976 and continues his interest and commitment to international outreach and education, most recently on a surgical mission to Vietnam where he taught ear reconstruction to Vietnamese surgeons.

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Otoplasty – New York City – Dr. Charles Thorne – Ear Surgery

Ear Cropping (Otoplasty) in Dogs –

Trimming of the pinna (ear flap) for cosmetic purposes in the dog is usually referred to as ‘ear cropping.’ There is no medical reason for the procedure, but is included here because it is a commonly performed procedure by some veterinarians.

The main purpose of ear cropping is to alter the shape of the ear flap to make the flap stand erect. This is a procedure commonly performed on but not limited to breeds such as Schnauzers, Boxers, Great Danes, Doberman Pinschers, and Boston Terriers. The optimal age for ear cropping is 2-3 months of age. For Boston Terriers, it is between four and six months of age.

The decision to cosmetically crop your pet’s ears is a personal one. If you desire to have it performed, we advise discussing the procedure, its risks, and cost with your veterinarian.

Occasionally, pets are born with deformed ears – ears that normally should stand erect but do not. German Shepherds are born with non-erect ears, and with age, the ears normally (without surgery) will stand erect. If the ears fail to become erect, then splinting of the ear flap may help cartilage become erect. As a last result, surgery to reposition segments of the cartilage may be beneficial in some dogs. Again, this surgery is one of cosmetics only, with no medical reason to perform it.

Ear Cropping (Otoplasty) in Dogs –

What to Expect After Otoplasty –

DRESSINGS/SUTURES- A large gauze dressing is placed around the head in the operating room. This is removed the day after surgery; a surgical drain is sometimes left under the skin, and is generally removed the day after surgery. The head dressing is replaced by an sport elastic headband which is worn continuously for the next 6 days, to protect the ear from inadvertent bending. During the second, third and fourth weeks after surgery, this band must be worn only at night.

Sutures are well hidden behind the ears, and are removed one week after surgery. Some sutures may be left in place to dissolve on their own.

ACTIVITY AFTER SURGERY- In order to allow your tissues to heal properly, we ask that you refrain from brisk physical activity for two weeks. Walking and non-physical activities are allowed, but it is best not to exercise for the first 2 weeks. After the first 2 weeks, aerobics, running, stair climbing, exercise bicycling and treadmills are permitted, but weight lifting (free weights or machines) should not be done until after the end of the third week after surgery. However, once the effects of the anesthetics have worn off, it is not necessary to remain in bed or at home. You may shower as soon as the bandages have been replaced by the elastic headband. This band should immediately be replaced after each shower.

SWELLING- Ear swelling is expected but is usually mild. Sleeping with your head elevated and sitting upright during the day for several days following surgery will help minimize swelling. Most swelling will gradually resolve in 10 days.

BRUISING- Bruising, too, is normal. The bruises on your ear may “fall” onto your neck before disappearing. Most bruising will resolve in the first 7 days after surgery and may be concealed with makeup one week after surgery.

BLEEDING- Minimal oozing of blood and tissue fluid along the suture/staple lines can occur for a few days following surgery. Bleeding that is severe or does not stop with 10 minutes of continuous pressure is rare and should be reported to our office.

ITCHING/NUMBNESS- Itching along suture lines and in areas adjacent to the face (scalp, forehead) is common and temporary. A feeling that the ear is numb also occurs. Normal sensation usually returns within a few weeks.

PAIN/DISCOMFORT- Most patients experience little pain afterwards; most describe the discomfort as “soreness” rather than “pain”, easily controlled with acetaminophen or acetaminophen with codeine. The ear may be tender to the touch, however, for several weeks after surgery.

HEAVINESS- Your ear may feel “heavy” for a few weeks following surgery. This is due to swelling and changes that occur with healing.

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What to Expect After Otoplasty –

Otoplasty San Diego Ca | Ear Reshaping Surgery San Diego

Otoplasty refers to reshaping the ears. Candidates for our San Diego Otoplasty procedure include any adult or child with prominent or misshaped ears. The most common reason for this procedure is to correct prominent or protruding ears. Prominent ears are a result of a variety of different anatomic configurations, however the two most common reasons ears are prominent are due to the lack of a anti-helical fold and over-sized cartilage.[p>

The general treatment considerations are to identify the source or reason for the prominence and then to treat the specific finding. In some cases it requires creation of the anti-helical fold while in other cases it requires setting the ear back closer to the head. In many cases, it requires both techniques.

Best age in children?In children, the procedure is typically performed after the age of 5 or 6. In cases of severe deformity it can be done as early as 2, however these cases are rare. In cases in which minor deformities exist, the family may wish to wait until the child can participate in the decision at approx age 7-10. The rational for performing the procedure earlier as opposed to later in life is to reduce the chance of being teased or feeling insecure or embarrassed when the child starts school.

AnesthesiaIn younger children the procedure is performed under general anesthesia. In older children and adults, the procedure can be comfortably be performed in the office under local anesthesia.

Surgical TechniqueAn incision is placed in the crease behind the ear to gain access to the cartilage. Next sutures are used re-shape the ear and to set the ear back closer to the head. In some cases a piece of cartilage is removed. The sutures are typically absorbable and do not require removal. Any incision results in a scar but the incisions are placed so that they will be inconspicuous and hopefully almost invisible. The procedure takes approximately 45 minutes per ear.

Post-Operative CareA bulky dressing is placed on the head for a few days. The ears will be somewhat swollen for several days after the dressing is removed. A soft headband is worn at night to protect the ears. Typically, the patient can return to school or work in less than a week and full activity (including sports) in approximately 2 weeks.

3 months post op

Dr. Karam, who is board certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology, offers services in San Diego County including San Diego, Del Mar, Carlsbad, Carmel Valley, Encinitas, Rancho Bernardo and La Jolla in Southern California. If you are ready to schedule an appointment for our Otoplasty San Diego procedure with Dr. Karam contact us today. 858.259.3223

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Otoplasty San Diego Ca | Ear Reshaping Surgery San Diego

Otoplasty in St. Petersburg |Ear Surgery in Tampa

Ear reshaping, also known as otoplasty, is intended to place protruding ears in a more natural position. This surgery may be performed any time after the age of four or five. By that time, the ears have reached 85% of its adult size so there will be little, if any, subsequent change.

Otoplasty may last between two to three hours. To begin, your surgeon will fold your ear forward and make a small incision in theback or the ear to expose the ear cartilage. Depending on your particular needs, a piece of cartilage may or may not then be removed. The cartilage is folded back on itself, pinned, and sutured to maintain the newly created shape of your ear.For younger children, general anesthesia is commonly used so they will sleep throughout the procedure. For teenagers and adults, surgeons prefer to use local anesthesia and may combine it with a sedative. This way you will be awake, but very relaxed

Your initial consultation is extremely important. You should be able to speak freely with your surgeon about your goals and desired outcome. Be prepared to provide your medical history and inform your surgeon of any vitamins and medications (including over-the-counter) that you are taking. Make sure to tell your surgeon if you smoke, have uncontrolled high blood pressure, allergies, blood clotting problems, or the tendency to form excessive scars because these problems can affect the outcome of your surgery.

Work and School: You may return to work or school after approximately one week.

Discomfort: Your ears may ache and/or throb following surgery. This discomfort can be alleviated by medication prescribed by your surgeon. If pain persists, contact your surgeon immediately.

Recovery: Most patients will need to wear a tight fitting head-band for at least one month after the procedure in order to secure the ears in their new position. Activity where the ear may be forward (for example: football, wrestling, and other similar sports) should be avoided for a month following surgery. For children, be careful when playing on the playground.

Results: Each patient heals and scars differently. It is vital to keep in mind that the results of this procedure vary from patient to patient. However most patients will enjoy their final result within six to twelve months.

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Otoplasty in St. Petersburg |Ear Surgery in Tampa

Otoplasty in Pasadena & Los Angeles | Thomas Taylor MD

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Also known as ear pinning, otoplasty is a common surgical procedure performed to correct protruding ears. Unlike most cosmetic procedures, the surgery can be performed on children as well (normally five years or older) to help alleviate the risk of damaging, potentially traumatic teasing. Children and adults alike normally attain a successful, natural-looking result from the procedure.

Typically, otoplasty is a safe, relatively uncomplicated procedure that entails the following steps:

Incisions are made on the back of the ears, exposing the cartilage Some cartilage is remodeled or removed if necessary The ear is repositioned to a more conventional looking position Sutures (absorbable or removable) are applied to hold the new position in place

Swelling and bruising are normal, but usually disappear within the first week. Within a few days, you will notice evidence of the improvement; and several weeks later, your healing will be complete and the final result will be apparent.

At the end of two weeks, patients can resume normal activity with caution to protect the ears. Typically, no pain is experienced (pain medication is rarely required). With otoplasty, the benefits far outweigh any potential discomfort.

To learn more regarding otoplasty options for yourself or your child, contact our Pasadena plastic surgeon to request a consultation appointment.


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Otoplasty in Pasadena & Los Angeles | Thomas Taylor MD

Otoplasty | Denver, CO – Denver Facial Plastic Surgery lead me to Dr. Weber.

Dr. Weber performed a septoplasty and turbinate reduction on me back in October. I can honestly say that it’s dramatically improved my quality of life. I used to struggle with nasal congestion. The only thing that would help was decongestants. I had seen ENTs in the past and they only wanted to try me on different nasal sprays, when what I really needed was surgery! I struggled with nasal obstruction my entire life. Dr. Weber really did an amazing job with both the surgery and explaining the entire process beforehand.

Two months after surgery I have suffered no side effects and breathe better than I ever have in my life. I’ve seen youtube videos of other surgeons that did nasal packings, tubes, foam, and all of these other crazy things for a septoplasty. Dr. Weber didn’t need any of that! A little tape on the nose for a couple days and it healed perfectly. I can’t speak for the cost as my insurance paid 100% of it but I would recommend Dr. Weber to anyone that is in need of a facial surgeon. He sets a standard of excellence in his practice that all surgeons should strive to achieve.

Highly recommended. Thank you, Dr. Weber!

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Otoplasty | Denver, CO – Denver Facial Plastic Surgery

Recovering from Otoplasty – Beverly Hills Profiles

If you are considering otoplasty for yourself or your child, you likely want to know what to expect during the recovery period. Parents who are considering ear reshaping or pinning for their child are often particularly worried about pain levels and downtime for their children. The good news is that most people find the recovery following their cosmetic ear surgery to be relatively easy.

At Beverly Hills Profiles, we have observed very high levels of patient satisfaction after ear surgery. For many adults, this surgery is something they have considered for their entire life and they are very eager to see the results. Children, who are particularly vulnerable to cruel playground taunts, are often relieved that they are undergoing the surgery. Perhaps it is for these reasons that many of our patients breeze through the recovery period with little complaint.

Below weve outlined the recovery process following otoplasty. Weve also included 5 tips to help make the recovery process as easy and pain free as possible.

After the surgery, our doctors will carefully wrap the patients head and ears with fluff bandages, a special type of cotton padding that is used to protect the ears during the initial stages of healing. A compression bandage will be placed on top to keep the fluff bandages in place and help reduce swelling. These bandages will remain in place for 24 hours.

1 3 days after surgery

Our doctor will examine the patient about 24 hours after surgery and remove the initial bandages. A soft headband will be used by the patient and he or she will be asked to wear it continuously as much as possible for the next week, until the majority of the swelling has dissipated.

3 7 days after surgery

Most patients feel comfortable returning to work or school within this time period. When you feel ready will depend upon hairstyle (longer hair will cover any lingering bruising) and activity level at work or school. Bruising is not usually a significant feature of otoplasty recovery.

1 2 weeks after surgery

Most patients feel completely comfortable with the appearance of their ears by the end of the second week and have no concerns appearing in public.

3 months after surgery

All swelling has dissipated and the final appearance of the ears can be seen.

At Beverly Hills Profiles, we have performed countless numbers of otoplasties over the years. Based on this experience, we have compiled 5 tips to help you achieve the best results and recover from your ear surgery faster.

If you have any questions about otoplasty or the recovery period after surgery, please get in touch with our team. We are happy to discuss the surgery with you and answer any questions you may have.

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Recovering from Otoplasty – Beverly Hills Profiles

Otoplasty | SpringerLink


First Online: 07 April 2016

Otoplasty procedures are performed for a variety of congenital and acquired ear defects with the purpose of restoring the ear to the most functionally and cosmetically normal state as possible. The embryological development of the ear is a complex process, and aberrations along the way lead to a variety of defects. Ear development and anatomy are described. Surgical principles, indications, timing of surgery, and complications are reviewed. Microtia repair in children often occurs about at age 68 when growth of the ear is nearly complete and the cartilage is durable. For the best outcome it is important to recognize the ear defect present in order to choose the correct surgical technique for repair. Options for ear reconstruction involve the use of prosthetic auricles, cartilage-scoring and suturing techniques, as well as the use of autologous rib cartilage for major repair. Repair may be single- or multistaged. External auditory canal atresia is discussed along with considerations for assessing middle ear and hearing status.

KeywordsEar anatomyOtoplastyAuricular reconstructionMicrotiaExternal auditory canal atresiaEar deformitiesProsthetic auricles

Springer International Publishing Switzerland2016

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Otoplasty | SpringerLink

Otoplasty – Plastic Cosmetic Surgery

Otoplasty is ear surgery that sets large or prominent ears closer to the head.

Children with large ears are often subjected to ridicule from other children, and even adults. This can produce psychological stress and self consciousness. Many children carry these sensitivities with them into adulthood.

Surgical correction of oversized ears is very effective. We often perform otoplasty on small children because the ear reaches 80 percent of full growth by the time a child is six. Since there is no age limit on the success of otoplasty, many adults also elect to have the procedure.

Parents often ask us what age is best for correcting the ears. Since the ears achieve 80% of their growth by the time is 5 to 6 years of age, this is an appropriate time to consider correction. Typically, at this young age, children have not developed a degree of body awareness such that they are self conscious about such imperfections. By performing correction at this age, many children can avoid ridicule and comments that will begin a few short years later.

After initial evaluation, we typically prepare an insurance letter to receive preauthorization for the procedure. Children tolerate the surgery very well and there is very little discomfort associated with otoplasty.

Otoplasty is a surgical procedure that completes the developmental process by creating a center fold behind the ears. The ears are placed in a more natural relationship to the head and overall facial balance and harmony is restored. There are no adverse effects on hearing abilities because otoplasty does not involve the inner ear structures.

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Otoplasty – Plastic Cosmetic Surgery