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Toronto Ear surgery (Otoplasty)

Otoplasty surgery corrects prominent ears. Most commonly an incision is made on the back side of the ear where it is hidden, and sutures are used to bend the ear cartilage to create a natural looking ear.
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Otoplasty or ear reshaping is a cosmetic surgery procedure to improve the appearance of the ear and earlobes.

What Can Otoplasty Do?

In patients whose ears protrude away from the head otoplasty can correct the appearance by permanently 'pushing' the ears closer to the head for a more attractive appearance.
Otoplasty can also reshape ears that have a cupped or unfold shape making them appear too large.
It can allow the patient to wear a variety of hair styles without feeling self conscious of their ears.
Results of an otoplasty can be dramatic, and can eliminate years of self consciousness as well as boosting one’s self confidence.

How is Otoplasty Performed?

The ear structure is made of a cartilage (which provides structural support - gives the ear its shape), covered with a thin layer of skin on both sides. During the ear pinning procedure, an cut is made just behind the ears in the natural fold close to where the ears are attached to the skull. The skin carefully lifted off to expose the underlying cartilage. The cartilage is then shaped and pulled back towards the head using carefully positioned permanent sutures. Once everything is fully healed, the only sign of surgery will be a thin line behind the ear which is virtually invisible. Otoplasty surgery is usually performed under local anesthesia and you are able to go home immediately after the procedure. The entire process can take 1-2 hours.

The patient to the right had her procedure done fully awake. The procedure took approximately 40 minutes.

A small cut was made on the back of the ear where nobody can see it. The ear cartilage was bent to its proper shape and held in place with sutures. These are very delicate and therefore after the surgery it is essential that you are careful not to break them. You will be asked to wear a head band that will hold the ears in place and prevent them from accidentally being flipped outward. You will also have to sleep with this head band.
After the surgery you are able to go home right away, just like from a dentist's office.

Otoplasty in Toronto under local anesthesia edge

Recovery after Otoplasty

After surgery you will have a large bandage wrapped around your head. It is meant to protect your new ears, keep them in their new position, and apply pressure to minimize the risk of bleeding. This bandage will be changed the following day. You will need to wear a bandage holding your ears back for a total of 7 days. You will also need to wear a head band to protect your ears while you sleep for the next four weeks. Once completely healed, the scars/incisions will be virtually un-noticeable.

What to Expect After Surgery

• You will have sutures and a turban style bandage covering the ears that will need to stay dry and covered until your follow up appointment 5 days after surgery.
• Hair can be washed 5 days after surgery.
• After the first follow up visit, a sports headband should be worn as much as possible for 2-3 weeks.
• Pain following an otoplasty is usually minimal and low grade analgesics are adequate for the first few days. Afterwards ears may be sensitive for a few weeks.
• The ears and surrounding skin may be bruised or discolored for up to 2 weeks.
• You will need to lie on your back when you sleep. If you are accustomed to sleeping on your side, then it may make your sleep schedule a little disrupted for the next couple of weeks. Keep your head elevated with 2 pillows.
• The cartilage is not firmly healed into position for 8-12 weeks following surgery. It is imperative that the ears are not forcefully pulled on or traumatized during this time period.
• Adults may be able to resume normal light activities 1 day following surgery, and full activities at 3 weeks.
• Children can return to school 1 week following surgery.
• Contact sports should be avoided for 6 weeks.

Who can benefit from Otoplasty?

Patients with asymmetry/differences between the two ears. People with large protruding ears. If this applies to you, you may benefit from having your ears set back.

What are the risks of Otoplasty?

Otoplasty is a surgical procedure. Like all surgical procedures, there are general risks. Please read our information page on potential risks. With regards to otoplasty, there are special considerations that need to be taken into account. These include breaking of the suture which can lead to recurrence of the ear protrusion, bleeding, and abnormal scarring. If any of these happen, you may need additional surgery.
otoplasty before and after
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Male Otoplasty Toronto
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Dr. Martin Jugenburg
Toronto Cosmetic Surgery Institute
100 Front St West, Toronto, ON, M5J1E3