Prominent ear surgery

Prominent ears, or protruding auricles, are a common anatomical feature that occur in approximately five percent of the population. This is a congenital characteristic where the normal folds of the ear cartilage have not developed in the usual way. As a result, the upper part of the ear remains further away from the side of the head than usual.

The cause of prominent ears is typically the abnormal shaping of the ear cartilage during fetal development. The normal folds of the ear, particularly the so-called antihelix fold, may not have formed or may be less pronounced than usual. Additionally, the cup-shaped part of the ear may be larger than normal or positioned at an unusual angle. These structural differences lead to the protruding appearance of the ears.

Prominent ear surgery, also known as otoplasty, is a procedure used to correct the position or shape of the ear when the ears protrude significantly. The surgery helps alleviate appearance-related concerns and is a common, proven safe procedure performed on both children and adults. During the procedure, the position of the ear is adjusted closer to the head, and its shape can be refined to appear more natural.

Prominent ear surgery is an effective solution for correcting protruding ears. The goal of the procedure is to bring facial features into better balance, which can positively impact body image and boost self-esteem. The surgery can be particularly beneficial when the appearance of the ears causes embarrassment or social discomfort.

Prominent ear surgery can help in the following situations:

• The ears protrude more than 30 degrees from the side of the head.
• The structure of the ear is deformed.
• The appearance of the ears causes social discomfort or bullying.
• Asymmetry of the ears disrupts the overall appearance.
• Self-esteem is affected due to the appearance of the ears.

• Consultation. The first step is a consultation with a plastic surgeon, during which your general health, underlying conditions, and previous surgeries are discussed. The initial discussion also covers your wishes, expectations, and potential risks.
• Medications and allergies. During the initial consultation, it is important to mention any medications you are taking and any allergies you may have. Certain medications should be avoided before surgery. For example, aspirin and other blood-thinning medications should be discontinued two weeks prior to the procedure to minimize the risk of bleeding.
• Anatomical assessment. During the consultation, the plastic surgeon will evaluate the size and shape of the ears and examine their symmetry. The structure and flexibility of the ear cartilage will also be assessed, and the angle of the ears in relation to the head will be measured.
• Lifestyle. Smoking should be stopped at least one month before the procedure, as it impairs blood circulation and slows wound healing. Alcohol consumption should be avoided for one week before surgery. A healthy diet and adequate hydration support recovery after the procedure.
• Hair washing. Wash your hair thoroughly the day before the surgery, but do not use hair care products.
• Jewelry. Remove all jewelry before coming in for the surgery.
• Skin products. Do not use makeup, facial creams, or other skin products on the day of the surgery.
• Pain medication and clothing. It is a good idea to have pain medication and comfortable, front-buttoned clothing ready at home for the recovery period.
• Escort. You will need an escort on the day of the surgery, as you will not be allowed to drive after the procedure.
• Preparation instructions. Detailed preparation instructions will be provided before the surgery. These will include information about possible changes to medications, fasting requirements, hygiene, and whether an escort is needed.

• Bandage. After the surgery, a firm bandage is placed around the ears to protect them and keep them in the correct position. This initial bandage is kept in place for two days, after which it can be removed during the first shower. Adult patients can remove the bandage themselves at home, but for child patients, the bandage is usually removed during a follow-up visit.
• Pain management. Post-operative pain is generally mild and can be effectively managed with standard pain relievers.
• Sutures and surgical scars. Sutures are typically removed one week after the surgery. Although the surgical scars remain hidden, it is important to take good care of them. Scars mature into their final form within approximately one year. After the initial bandage is removed, a lighter support band is worn at night for at least one month. This is crucial to ensure the final result, as the ear cartilage tends to return to its original position.
• Swelling. Tenderness, swelling, and bruising around the ears may occur during the first few weeks. Swelling is most pronounced 3–4 days after the surgery and then gradually subsides. Sleeping in an elevated position during the first few weeks helps reduce swelling.
• Physical activity. Physical exertion, especially contact sports, should be avoided for 3–4 weeks.
• Sauna. Sauna use should be avoided for 3–4 weeks.
• Sick leave. Recovery from prominent ear surgery typically takes 1–2 weeks. Light work or school can usually be resumed about one week after the surgery.
• Contacting a doctor. If severe pain, signs of infection, or other concerning symptoms occur, it is important to contact a doctor.