Pinnaplasty

Pinnaplasty (also called otoplasty) is a surgical procedure to reshape or reposition prominent ears, helping them sit closer to the side of the head.

It is commonly performed in children aged 5 years and older, once the ears have reached near-adult size and the child is mature enough to cooperate with aftercare.

Reasons for surgery may include:

  • Prominent or protruding ears that affect self-esteem or cause teasing

  • Asymmetry between the ears

  • Desire for a more natural ear shape

 

Surgical techniques vary depending on the child’s anatomy and needs, but typically involve:

  • Making a small incision behind the ear

  • Exposing and reshaping the cartilage

  • Stitches are used to pin the ears back or refine their shape

  • The scar is hidden in the natural fold behind the ear

    • Pinnaplasty is usually performed under general anaesthetic in children

    • The procedure takes around 60 to 90 minutes

    • Most children go home the same day

    • A head bandage will be applied to protect the ears and support healing

    • The head bandage stays in place for 7 days, during which time the child should avoid school or physical activity

    • After one week, the bandage is removed and replaced with a soft headband (like a sports or sweatband), worn day and night for 2 weeks, then at night only for a further 4 weeks

    • Some bruising, swelling, and mild discomfort around the ears is expected

    • Simple pain relief (e.g., paracetamol or ibuprofen) is usually sufficient

    • Most children can return to school after 1–2 weeks, depending on comfort

    • Avoid contact sports or activities that may bend the ears for at least 6 weeks

  • As with all surgeries, pinnaplasty carries some risks:

    • Bruising and swelling (expected and temporary)

    • Infection around the wound or stitches

    • Scarring, usually hidden behind the ear

    • Asymmetry between ears

    • Stitches coming loose, which may require revision

    • Keloid or thickened scarring (more common in children prone to this)

    • Over- or under-correction of ear prominence

    Mr Eccles will discuss all potential risks with you at consultation.

    • In most cases, the results of pinnaplasty are long-lasting

    • However, small changes in ear shape or position may occur as the child grows

    • Occasionally, a touch-up procedure may be needed if the ear prominence returns or if healing is uneven

    Mr Eccles will guide you and your child through the process to ensure a safe and supportive experience.

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