Overview
The appearance of prominent ears may be caused by the inner fold of the auricle not being prominent enough, the size of the cartilage bowl, or the presence of these features together. Otoplasty is planned with techniques that shape and support the cartilage according to these anatomical components. The incision is most often located behind the ear; In some cases, the natural curves of the front face can be used. The aim is not to stick the ear excessively to the head, but to have a position that is compatible with the face. It is not considered a treatment for hearing loss. In children, the child's own wishes, emotional preparation and compliance with care recommendations are as important as ear development in the decision process.
What is evaluated?
- Examination of the ear fold, conchal cartilage bowl, earlobe and differences between the two sides.
- Assessment of previous ear surgery, trauma, infection, or tendency to significant scarring.
- For children, discussion of whether the child wants the procedure, their development and their ability to follow care instructions.
Approach and options
- The missing ear fold can be created or emphasized with stitches that support the cartilage.
- If there is a large cartilage cup, repositioning and cartilage rearrangement may be considered when necessary.
- Unilateral or bilateral plan may involve different techniques depending on the anatomy of each ear.
Recovery and follow-up
The support dressing helps maintain the new position of the ear; Recommendations for use and removal should be followed. There may be tenderness, swelling, and itching under the bandage. It is important to protect the ear from pressure, friction and impact. Return to school, work or sports is determined by evaluating the injury condition and the risk the activity poses to the ear.
Risks and limits
- Bleeding or hematoma around the ear.
- Infection and wound healing problem.
- Asymmetry, contour irregularity or re-prominence.
- Change in sensation, persistent tenderness or significant scarring.
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- What cartilage features in my ear affect the appearance?
- Will the same procedure be applied to both ears?
- How should I protect my ears when sleeping, wearing glasses and returning to sport?
Resources
- ASPS – Ear surgery ↗
- ASPS – Otoplasty techniques ↗
- ASPS – Ear surgery risks ↗
- ASPS – After ear surgery ↗
Access to sources: September 2026. The content has been prepared for general information purposes.