Many people suffer from protruding or malformed ears, which may have exposed them to ridicule during childhood, severely lowering their self-esteem. Otoplasty, or ear pinning surgery, can effectively eliminate these imperfections and create more aesthetically pleasing ears for the patient.
People with large, malformed or misshaped ears choose to undergo ear pinning surgery. If you have prominent protruding ears, noticeably protruding from the head, if you suffer from the “lop ear” when the tip of your ear appears to fold downward and forward, similar to some dog ears, or if you have cupped ears (disproportionately small), or possibly “shell ears” with the absence of natural ear folds and creases, and no curve in the outer ear rim, you may be the right candidate for otoplasty.
Adults and children alike can receive otoplasty, but the operation is mostly performed on children between 4 to 14 years of age. Although rare, Dr.Fisher performed this surgery many times. “At the age of four,” Dr.Fisher states, “the human ear is nearly fully grown. This is the perfect age for otoplasty.”
Many followers of our site and Dr.Fisher’s blog and website, www.drfisher.com, are full well aware that Dr.Fisher is one of the United States’ foremost experts in reparative surgery and surgery of the hand (carpal tunnel syndrome). He established Marie-Louise Cleft Palate Foundation, and helped many children and adults regain their self-esteem by operating on bodyparts as diverse as you can only imagine – from ears and noses, to feet and genitalia. With his Columbia University background in psychology and physiology, he is also a foremost expert to address when you have any psycho-somatic disorder, such as “outstanding” ears.
How does he perform otoplasty? For adults and older children, the use of local anesthesia and sedatives during the operation is preferable. For young children, however, general anesthesia is recommended. The typical time frame for ear pinning surgery is between 2 to 3 hours. If a particular case is complicated, the operation may take longer.
“It is very easy – if you know how to do it,” says Dr.Fisher with his proverbial good humor and large, welcoming smile. “First, we must expose the ear cartilage by making an incision behind the ear. Then the cartilage must be carved and bent backward, closer to the head. If necessary, superfluous cartilage should be removed, just as we do in nose-shaping. Finally, we apply a few permanent stitches to keep the new shape in place.”
To ensure proper healing and molding of the ear after ear pinning surgery, Dr.Fisher uses a bulky bandage around the head of the patient. There may be some aching and throbbing for a few days, which can be relieved and minimized by very effective medication. Dr.Fisher uses self-absorbing stitches, so there is usually no need for a post-op visit for stitch removal. Normal physical activities can be resumed after approximately four to five weeks.