The external ear, also called the pinna, is one of the most overlooked components of facial appearance. These paired structures come in all shapes and sizes, and both the size and shape can change over time. Most cultures instinctively have recognized the importance of the ears appearance. Adorn the ear with jewelry is almost universally accepted. Yet, the ears can also be a source of great psychological pain when their size and shape vary from socially accepted norms. Young children, especially, endure the taunts of playmates.
The size and shape of the ear is dependent on the underlying cartilage. Cartilage is the rubbery, semi-rigid, substance the body uses to give various structures their shape and flexibility. The ear cartilage is made up of a series of folds and cup-like structures, all of which contribute to its final shape. If a person is born with too much cupping or not enough folds, the ear will be forced away from the side of the head. The ear will appear as if it is protruding. The plastic surgery procedure to correct this problem is called an otoplasty or “ear pinning” or “ear reshaping”.
How can a Plastic Surgeon Help?
The goal of otoplasty or ear pinning is to create pleasing, symmetrical ears which are well shaped and well positioned in relation to the head. Each patient requires an individualized treatment plan carefully designed to fit his or her specific needs. Plastic surgeons who perform otoplasty will reshape the cartilage framework. The surgeon will do this by creating new folds with permanent sutures, reducing excess cartilage, and repositioning the whole ear complex closer to the side of the head. The cosmetic surgeon will place incisions in the groove behind the ear, making them well camouflaged.
Ear Pinning: The Consultation
The first step for otoplasty surgery or ear pinning is to always seek out a consultation with a board certified plastic surgeon. Dr. Warren Lent, board certified by the American Board of Plastic Surgery and specializing in ear pinning (otoplasty) in the Los Angeles area, will perform a thorough consultation. After a careful evaluation, he will describe, in detail, the proposed treatment plan and answer all of your questions. For children, Dr. Lent recommends that the consultation should take place at about the age of three, with anticipation of treatment occurring at about the age of 4 or 5. This will allow the child to avoid unnecessary teasing and the psychological consequences.
Otoplasty: Procedure and Post-Surgery
Beverly Hills plastic surgeon, Dr. Warren Lent, usually performs the otoplasty procedure in an outpatient setting. Most adult patients have their choice of undergoing the operation under either local or general anesthesia. Most children, though, require general anesthesia. The procedure usually takes approximately 2 to 3 hours to perform. There is very little pain or discomfort associated with this operation. Most swelling resolves in 10 to 14 days. The plastic surgeon will usually remove sutures 7 to 14 days after the procedure. Patients are asked to avoid all exercise and lifting for two weeks after surgery. The operation is generally thought to be quite safe. Like all medical treatment, though, there are risks including the risk of infection, bleeding, asymmetry, and the risk of anesthesia. However in the hands of the highly skilled plastic surgeon like Dr. Lent, great care is taken to significantly minimize these risks.
The results of otoplasty surgery are usually immensely satisfying. Years of psychological baggage can be wiped away, leaving the patient with a renewed sense of well-being, self-esteem, and self-confidence. For children, the procedure, when performed at an appropriate early age, can prevent years of difficulty in school and social situations.
To best understand all of your options, a full consultation with cosmetic surgeon is recommended. For further details on each aspect of otoplasty, Dr. Lent invites you to visit his collection of posts and before and after photos for ear pinning.
For further details on each aspect of a facelift, please contact us at:
150 North Robertson Blvd. Suite 140
Beverly Hills, Ca 90211