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In children with severely prominent ears, we recommend that the procedure is performed early in life between the ages of 2 to 5 years. Completing the procedure at any early age is beneficial in two respects: the cartilage is extremely pliable, thereby permitting greater ease of shaping; and secondly, the child will experience psychological benefits from the cosmetic improvement. The ears are fully grown by age four and the majority of patients who undergo this operation between the ages of 4 and 14 years of age.
Adults may also benefit from Ear Surgery and may choose to combine the procedure with other facial cosmetic surgery. There are generally no additional risks associated with Otoplasty on an older patient.
Dr. Sellars would usually have at least 2 consultations with the patient (and parents if applicable), to discuss the concerns, objectives and to ensure the patient has realistic expectations. Before and after photos of other people will be shown and reading material will be given to the patient.
Dr. Sellars will discuss the surgery in detail any potential complications and risk factors.
A general anaesthetic is usually required for an Otoplasty. The surgery involves cutting the skin behind the ear in an ellipse shape, to expose the underlying cartilage. This cartilage is then “scored” the make more malleable. Sometimes a little piece of cartilage will be removed; however, on many occasions the cartilage will just be folded back into a more natural shape.
The wound is then closed with a suture which is dissolvable and doesn’t need to come out.
A bandage is wrapped around the head immediately after the surgery to hold the surgical dressings in place. This will stay in place until you come to your first follow-up appointment. You can wash your hair as normal when the dressing is removed.
You will experience mild to moderate discomfort for a couple of days, and Dr. Sellars will prescribe pain relief medication for as long as is required. Please ensure no medication with aspirin is taken, as this can thin the blood and cause bruising and bleeding.
Some swelling and bruising is to be expected post operatively, and this will subside over a week or two. A headband should be worn at night for three weeks after the dressing is removed.
Adults can return to work and children can return to school once the dressing and bandage is removed, however some tenderness may remain for a couple of weeks.
Normal activities can resume, however strenuous exercise and smoking are not recommended.
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