Korekta odstających uszu – jak przebiega zabieg otoplastyki?

Correction of prominent ears – how does the otoplasty procedure work?

Introduction

Prominent ears are one of the most common aesthetic problems that can affect the self-confidence of both children and adults. This defect, although completely harmless to health, is often a source of complexes and lowered self-esteem. Fortunately, modern plastic surgery offers an effective solution – otoplasty, a procedure for correcting prominent ears. In this article, we will describe in detail what this procedure involves, how to prepare for it, how it is performed, and what results can be achieved.

What is otoplasty?

Otoplasty is a surgical procedure aimed at correcting the shape, position, and proportions of the auricles. It is most often performed to reduce the distance of the ears from the head, improve symmetry, and the aesthetics of the ear. This procedure allows for a natural look, improving facial features and increasing the patient's self-confidence.

Who is the otoplasty procedure for?

The otoplasty procedure is suitable for people:

• with prominent ears (congenital disproportion),
• with asymmetry of the auricles,
• after mechanical injuries deforming the shape of the ear,
• wishing to improve the proportions of the ears relative to the face.

In children, the surgery can be performed from the age of 6, when the development of the auricle is almost complete.

How does preparation for the procedure look like?

Before undergoing the otoplasty procedure, the patient should:

• Surgical consultation – discussion of expectations, analysis of ear anatomy, assessment of health status.
• Laboratory tests – complete blood count, coagulation system, blood sugar level.
• Discontinuation of medications – avoidance of aspirin, anti-inflammatory drugs, and supplements affecting clotting.
• Quitting smoking – at least 2 weeks before the procedure (speeds up healing).
• Avoiding alcohol – 48 hours before surgery.

Preparation for the procedure is crucial for minimizing the risk of complications and achieving optimal results.

Otoplasty procedure

Anesthesia

The procedure is usually performed under local anesthesia, although general anesthesia is preferred in children to ensure full comfort.

Surgical incision

• The incision is made behind the ear, in the natural fold of the skin, so the scars are invisible.
• The surgeon models the ear cartilage, giving it the appropriate shape and reducing the distance from the skull.

Cartilage modeling

Depending on the technique, the surgeon may:

• cut the cartilage and reshape it,
• suture the cartilage with special sutures that fix its position.

Wound closure

After achieving the desired form, the wound is closed with thin sutures, and the ears are secured with a protective dressing.

Procedure duration

The surgery usually lasts from 45 minutes to 2 hours, depending on the degree of complexity.

Otoplasty techniques

Mustarde technique

• Mainly used in adults.
• It involves suturing special stitches that model the cartilage without cutting it.

Recommendations beyond Furnas technique

• Used to reduce the distance of the ear from the head.
• The cartilage is modeled and sutured closer to the skull.

Sten technique

• Ideal for correcting ear asymmetry.
• The cartilage is gently modeled, and excess skin is removed.

The choice of technique depends on the patient's anatomy and expectations regarding the final effect.

Recovery after otoplasty

Immediately after surgery:

• The patient wears an elastic dressing that protects the ears from injuries and keeps them in the correct position.
• Discomfort, swelling, and bruising are possible, which subside after a few days.

Post-operative recommendations:

• Dressing – should be worn for about 7 days.
• Sleeping with the head elevated – reduces swelling and speeds up healing.
• Avoid physical activity – for at least 2 weeks.
• Caution when washing hair – gentle handling of the ears.
• Doctor's check-up – sutures are removed after a week.

Effects of otoplasty

The effects of otoplasty are permanent and visible almost immediately after removing the dressings. Ear correction affects:

• better facial proportions,
• greater self-confidence,
• improved self-esteem,
• the ability to wear hair tied up without complexes.

Possible risks and complications

Although otoplasty is a minimally invasive procedure, there are some risks:

• infections,
• scarring,
• asymmetry,
• loss of sensation in the auricles (temporary),
• hematomas.

Choosing an experienced surgeon minimizes these risks.

Frequently Asked Questions

Is the procedure painful?

Local or general anesthesia ensures full comfort. After the operation, slight discomfort is possible, which subsides after a few days.

Are the scars visible?

No, the incision is made behind the ear, in the natural fold, making the scars invisible.

Is the effect permanent?

Yes, otoplasty provides lasting results. The cartilage is formed into a new shape that remains throughout life.

Summary

Otoplasty is a safe and effective way to permanently correct prominent ears, allowing you to regain self-confidence and improve facial proportions. The procedure is minimally invasive, and the effects are permanent. If prominent ears are a source of complexes, it is worth considering a consultation with an experienced plastic surgeon who will choose the best technique for the patient's needs.