Prominent, overprojected ears, poorly defined ear folds, large ears in children, teens, adults
Ear Reshaping / Otoplasty
Restore harmony and balance to your face with natural proportional shape and position.
The personal care and consideration I received is exceptional, and my otoplasty results are beautiful and natural. Here, you have the time and space to explore and consider without pressure. Dr. Kolker and his staff are wonderful, I always look forward to seeing them. AP
Prominent ears are extremely common. There are varying degrees of ear shape issues, ranging from very mild projection or prominence with normal ear folds and contours, to dramatic prominence with poorly defined folds ("bat ears"), to more substantial size, shape and fold concerns. Otoplasty surgery corrects prominent or protruding ears and sets them back closer to the head or reduces them in size. Folds and contours of the ears can also be defined and accentuated during otoplasty.
Dr. Kolker performs the otoplasty procedure commonly on children and adults with prominent ears; the otoplasty procedure is performed frequently for children beginning as early as six or seven years of age, as the size of the ear is nearly that of adulthood by this age, and the sooner the prominence is corrected, the less "teasing" the child may be subjected to. Many teenagers feel self conscious and shy due to prominent ears, and wear their hair long to camouflage their ears. Adults may wish to modify the projection, prominence, or contours of their ears to improve self perception. Individuals of almost any age are candidates for otoplasty or ear reshaping.
Ideal otoplasty candidate
- Sets protruding ears closer to head
- Creates more natural ear folds
- Restores facial harmony
Cartilage rotation otoplasty, cartilage scoring otoplasty, cartilage suturing otoplasty, cartilage reduction otoplasty
- Length: 2 to 3 hours
- Back to Work or School: 5 to 7 days
- Return to Exercise or Gym: 4 to 5 days (light cardio), 2 to 3 weeks (more strenuous exercise), swimming at 1 week, diving at 3 to 4 weeks
During your initial consultation with Dr. Kolker, he will thoroughly discuss your (or your child's) desires and expectations for otoplasty or ear reshaping surgery with you. He will conduct a thorough examination of your ears, their relationship to your head and facial proportion, and their relationship to each other. Dr. Kolker will carefully help you to plan the correction of prominent ear and otoplasty techniques that will help achieve the most natural and desired result. Dr. Kolker will carefully review the otoplasty procedure, or combination of procedures, which suit you best. Dr. Kolker will answer all questions that you might have regarding any step of the otoplasty process.
Dr. Kolker uses a variety of techniques in the otoplasty procedure that are tailored to your specific needs. During the otoplasty procedure, small incisions are made inconspicuously behind the ears. The otoplasty techniques will enable the folding, suturing, and rotation of the ear cartilage to achieve a more natural, proportional shape and position. Occasionally, reduction in the size of the ear during otoplasty involves the removal of some ear cartilage. Dr. Kolker uses dissolvable sutures for the incision line during otoplasty, so no suture removal will be required. A head dressing is applied at the end of the otoplasty procedure. Dr. Kolker will recommend the individual otoplasty technique that suits you best. An otoplasty in New York is performed in Dr. Kolker's office-based surgical suite, accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF). In younger children, the otoplasty procedure may be performed at the Mount Sinai Hospital in Manhattan. Depending upon your needs, the otoplasty procedure takes between 1-3 hours.
Following otoplasty surgery, you will go home on the same day with a friend or family member. Sutures placed behind the ears during otoplasty are all dissolvable. After the primary head wrap is removed, Dr. Kolker often encourages the use of a headband (terry-cloth or polar fleece, depending upon the season the otoplasty is performed) intermittently for one to two weeks. Dr. Kolker suggests taking one week off work or school following otoplasty, however many are able to return to work or school after three or four days. Light aerobic activity (elliptical, walking, bicycle) may be resumed as early as four to five days following otoplasty, and more strenuous activity is begun at two to three weeks. For return to gym classes in school, Dr. Kolker often recommends a two week hiatus to protect the ears from inadvertent contact from classmates. Although swimming is indeed possible as early as one week after the otoplasty procedure, Dr. Kolker discourages diving into a pool (to minimize any pull or distraction to the ears when hitting the water) for approximately three to four weeks following otoplasty. Your relationship with Dr. Kolker does not end after otoplasty surgery; he will see you often through the first weeks and months following your otoplasty, and will advise you on all matters in your recovery.
The otoplasty is most often performed as an isolated procedure. For those adults who desire additional plastic surgery or cosmetic surgery enhancements, your otoplasty may also be combined with other facial enhancements or body contouring procedures, such as fat transfer (autologous fat grafts), blepharoplasty (eyelid lift), or liposuction