Otoplasty is the surgical procedure used to correct, shape and change the overall size, proportions, or position of the ear in any vector. Otoplasty addresses congenital defects (found at birth), cosmetically desired changes, and correction of issues caused by prior trauma or unsatisfactory results from a prior ear surgery.
How is ear surgery performed?
In most otoplasties, the incision is made behind the ear which allows direct access to protruding, over developed conchal bowl cartilage, the cup-shaped part of the ear that plays an important role in ears that appear overly prominent. Correcting the over-developed or rotated protruding ear may involve scoring removal or reshaping cartilage to create or increase the antihelical fold (where a natural bend usually appears). When we speak of “pinning” ears, we essentially reduce the enlarged conchal cartilage (the largest and deepest concavity of the external ear) to allow the ear to sit more tightly to the head.
For more intricate development of missing ear features (superior to inferior crus, helix, ante- helix), incisions on the front of the ear might be indicated but we will try to hide them within normally occurring folds.