Pinnaplasty

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What we Treat:

• Prominent ears that stick out too far
• Asymmetrical ears
• Deformities like "lop ear" or "cupped ear"
• Can also help with trauma-related ear shape issues

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Pinnaplasty, also known as otoplasty or ear pinning surgery, is a cosmetic procedure performed to reshape and reposition protruding or misshapen ears. This information sheet aims to provide you with an overview of what to expect before, during, and after the procedure.

Surgery

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Pinnaplasty is typically performed under local anaesthesia with sedation or general anaesthesia, depending on your preference and the surgeon's recommendation. The procedure involves making incisions behind the ear to access the cartilage, which is then reshaped and repositioned to achieve the desired appearance. In some cases, excess skin may be removed. The incisions are then closed with sutures, and a dressing is applied to protect the ears.

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Recovery

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After the procedure, you may experience some discomfort, swelling, and bruising, which is normal and usually resolves within a few weeks. You will be given instructions on how to care for your ears and manage any discomfort. It's important to avoid strenuous activities and to protect your ears from trauma during the initial healing period.You will be asked to wear a sports headband for a number of weeks after the surgery to protect the ears and prevent movement.

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Results

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The final results of pinnaplasty may not be immediately apparent due to swelling and bruising. However, as the swelling subsides and the ears heal, you will begin to see the improvements in the shape and position of your ears. It's essential to have realistic expectations about the outcome of the surgery, as individual results may vary.

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Risks and Complications

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Risks and complications of pinnaplasty may include:
Infection: There is a risk of infection at the surgical site, which can usually be managed with antibiotics.
Bleeding: Some bleeding is normal during and after surgery, but excessive bleeding may require medical intervention.
Asymmetry: Achieving perfect symmetry may be challenging, and there is a risk of slight differences between the ears after surgery.
Changes in sensation: Temporary or permanent changes in sensation around the ears, including numbness or hypersensitivity, may occur.
Unsatisfactory results: Despite the surgeon's best efforts, the desired outcome may not be achieved, leading to dissatisfaction with the appearance of the ears.
Scarring: While efforts are made to minimise scarring, some visible scarring behind the ears may occur.
Recurrence: In some cases, the ears may gradually revert to their original position over time due to cartilage memory, necessitating additional surgery.
Allergic reactions: Some individuals may experience allergic reactions to anaesthesia, sutures, or other materials used during the procedure.
Skin contour irregularities: Changes in the contour or texture of the skin behind the ears may occur, although these are usually minimal.
Anaesthesia risks: General anaesthesia carries its own set of risks, including allergic reactions, respiratory complications, and adverse reactions to medications.

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