S.SEAN YOUNAI, MD,FACS Board Certified Plastic, Cosmetic, & Reconstructive Surgeon
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Ear Surgery 

Otoplasty Beverly Hills, also known as Ear Pinning, Ear Pinback, or Ear Reduction Surgery Beverly Hills, is the cosmetic plastic surgery procedure that permanently corrects protruding ears. Otoplasty Beverly Hills does so by positioning the ears closer to the head (Ear Pinning), reshaping them, reducing their size, and making them more symmetrical. Protruding Ear Deformity is the most prevalent congenital malformation of the head and neck area.

Besides Protruding Ears, other External Ear deformities are also corrected by Otoplasty Beverly Hills. These deformities include: Cup Ear or irregular development of the outer ears; Lop Ear or Bat Ear, where the edge of the ear’s exterior grows at a sharp and protruding angle; Cauliflower Ear, caused by crush injury to ear cartilage; "Spock's Ear" with protruding sharp edge; Shell Ear, with missing folds and creases, as well as ears that are too large or too small.  

Ear Surgery ranks as the most commonly performed plastic surgery Procedure on children between ages five and fourteen. In fact, Ear Pinning is one cosmetic surgery where “earlier is better” because of the devastating blows to a child’s self-esteem, who is teased for having protruding ears; being called names such as “Dumbo,” “Mickey Mouse” and “Rabbit Ears”. The optimal time for performing otoplasty in children is just before they start school, or at about the age of seven. At this age the ears have grown to nearly their adult size and the child is old enough to be able to undergo surgery safely. It also gives children a chance to correct their facial deformity before starting to socialize with peers in school.

Contraindications for Otoplasty Beverly Hills include active ear infection. Children who need to undergo surgery on their ear drums, mastoids, or tonsils should delay having Otoplasty Beverly Hills.  

 

Otoplasty Beverly Hills is tailored by plastic surgeons according to the patient's needs. Techniques include rearranging or sculpting existing ear cartilage; adjusting the position of the ear helix and lobe to that of the head; rearranging, excising or adding skin or cartilage grafts and flaps.

Children having Otoplasty Beverly Hills will undergo general anesthesia to assure that they will remain still for maximum safety. On the other hand, adults can undergo Ear Pinning with local anesthesia and sedation, if they have a calm nature.  

 

How is Ear Surgery carried out?

The Cosmetic plastic surgeon begins the surgery by making an incision just behind the ear, in the natural fold where the ear joins the head. He or she may employ Cartilage Cutting or Cartilage Sparing techniques. Cartilage Sparing, which repositions the cartilage via multiple suspension sutures rather than cutting, has the advantage of avoiding visible edges of cut cartilage, but is technically more challenging. Following the repositioning of the cartilage, the plastic surgeon will address the protrusion of the ear lobes, remove excess skin and close the wound with sutures.

Your Plastic Surgeon’s instructions for recovery will include wearing a special headband or bandage to hold the ears in place, avoid strenuous sports for a period of time, and to sleep with your head elevated for a few days. Following all instructions will be crucial to an optimal outcome.  

Timing of Otoplasty

Otoplasty is one of the few cosmetic surgeries commonly performed on children. It is a case where "earlier is better" because of the devastating psychological impact of peer ridicule.

By age five or six, the "auricle," the visible, cartilaginous part of the ear, has nearly reached its adult-sized and can be safely corrected. (Only the ear lobes continue to elongate which gives the impression that the ears are still growing). While all surgery carries risk, Otoplasty is overwhelmingly safe and successful. Having it done at a young age is desirable because the cartilage is still very pliable, giving the plastic surgeon more latitude for shaping, and because of the psychological benefit to the child who has the cosmetic improvement prior to starting his or her schooling.  

Who is a candidate for Otoplasty?

Otoplasty is a blessing for thousands of adults who have often spent their lives feeling self-conscious about their appearance because of large protruding, deformed or highly asymmetrical ears. They have always hid their large protruding ears under long hair, stayed away from wearing ear-rings, avoided wearing their hair up, and evaded wearing caps.

Protruding ears are genetic, and are the most frequent congenital deformity of the head and neck area – affecting five percent of the general public. Protruding ear deformity affects both genders, and may be unilateral or bilateral. Nearly 60 percent of those affected have a family history of the condition. It is often typified by the failure of the outer rim of the ear to fold back toward the scalp during fetal development. However, there are also deformities caused by trauma (dog or animal bites), or habits of "ear pulling." Many toddlers pull on their ears during teething stages, and continue to do so even when they are no longer teething. Stretched earlobes can also be corrected by Otoplasty.  

Who is not a good candidate for Otoplasty?

Because no two ears on any person are identical or completely symmetrical, patients who are considering Otoplasty must realize that Otoplasty will not give them identical ears. Therefore, Otoplasty is contraindicated for those who have unrealistic expectations, as well as those who are not able to comply with the strict postoperative instructions detailed below.  

   
 
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