Though some of these issues we have no control over, others we do. For those bothered by the size, shape or position of their ears, cosmetic surgery offers an option. Otoplasty can address numerous aesthetic issues in children or adults. Though it cannot correct hearing problems, there are numerous common aesthetic issues this surgery can correct.



The most common issue otoplasty addresses is excessive protrusion from the head. This issue is often caused by excess cartilage and can be corrected in an outpatient procedure under local anesthesia. During the procedure, an incision is made behind the ear. The cartilage is then re-scuplted to a more desirable shape.

In some instances cartilage and skin are removed to create the desired effect. Though most effective in children, due to the malleability of cartilage in kids, the procedure can also be performed on adults and offers a high rate of patient satisfaction. Patients generally return home the day of the procedure, though small children sometimes spend the night in the hospital for observation.

Another common issue is a condition referred to as constricted or "cupped" ear. It occurs when the rim is constricted and tends to make the ear look unusually small. This deformity can range from mild to severe. Treatment options vary, depending upon the severity of the issue.

Microtia is a condition where both the internal and external ear does not fully develop. This is not only a cosmetic issue, but often impairs hearing as well. Though cosmetic options, such as prosthetics, do exist, reconstruction is favorable for numerous reasons. Reconstruction offers the benefit of some sensation while prosthetics do not.

Prosthetics are also often rejected by the body, which is not an issue with reconstruction. Reconstructed ears tend to be less noticeable than artificial options as well. Though reconstruction offers numerous benefits to those with microtia, it is a process which often takes several surgeries to complete.

Patients should be sure to research their surgeon well and choose an experienced reconstructive surgeon to ensure optimal results. As with other otoplasty procedures, microtia correction is commonly performed on children due to the malleability of the cartilage at that time and for emotional well-being of the child.

Macrotia—or excessive large ears, seems as though it should be a common enough complaint. And though many do believe their ears are too large, the problem is most often due to protrusion from the head rather than size.

Macrotia is actually a very rare condition. It is more common for a person to be born without an ear at all than to have macrotia. Though this deformity is a rare one, it can be surgically corrected. The re-sculpting process must be tailored to each patient's particular issues.

These are just a few of the many deformities that can be corrected with otoplasty. Cosmetic issues of this type can range from simple to complex, and while some are very noticeable, causing great self-consciousness an emotional pain, others are less so, needing no treatment at all.

As with any cosmetic procedure, otoplasty can offer great aesthetic benefits, but patients need to have realistic expectations about the results. Your goal should be improvement, not perfection.