Ear Surgery

(Otoplasty)

When prominent, protruding, or irregularly shaped ears create aesthetic concerns that affect self-esteem and confidence, plastic surgery techniques can reshape, repair, and/or reposition the ears for a more cosmetically pleasing appearance. These procedures can even be performed on young children to prevent teasing and self-consciousness, which can negatively impact emotional well-being. Stretched, torn, and damaged earlobes can also be fixed with a variety of effective techniques.

Our Philadelphia plastic surgeon is experienced in the full spectrum of aesthetic ear surgeries and can determine the best approach for shaping your ears.

• What Is Otoplasty?
• Otoplasty Candidates
• Otoplasty Procedure
• Earlobe Repair
• Otoplasty Recovery
• Otoplasty Cost

What Is Otoplasty?

The specific plastic surgery technique called otoplasty, which is also referred to as ear pinning, is performed to correct protruding ears. It happens to be one of the few cosmetic surgeries performed on children. Otoplasty can be performed on one or both ears depending on the patient’s needs.

Generally speaking, there is a wide range of cosmetic and reconstructive ear surgeries that can improve the shape, position, or proportion of the ear. Certain techniques can correct birth defects or treat misshapen ears caused by injury. Other strategies can address deformities of the earlobe, whether it be a torn earlobe from an earring pulling through or an enlarged hole caused by stretching (gauging), to restore a more natural contour.

The ultimate goal of otoplasty and other ear surgeries is to create a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem.

Who Is a Candidate for Otoplasty?

Good candidates for otoplasty and other cosmetic ear surgeries can include healthy individuals with the following concerns:

• Protruding or prominent ears
• Asymmetrical ears
• Ears affected by irregular development
• Stretched, torn, or overly large earlobes
• Ears misshapen by trauma

As mentioned previously, otoplasty is often performed on children of a young age (sometimes as young as age five, when ear cartilage is almost fully mature). A consultation with Dr. DiBello can help determine if you or your child is a candidate for cosmetic ear surgery. At that time, he will discuss your personal concerns involved in the procedure.

While we do not feature pictures of Dr. DiBello’s patients on our website, you will have the opportunity to review many ear surgery before-and-after photos in the privacy of our office. Dr. DiBello can show you specific cases with characteristics that are similar to your own so that you can preview results that may be possible.

How Is the Otoplasty Procedure Performed?

Otoplasty and other cosmetic ear surgeries are typically performed under general anesthesia; however, in some adult cases, sedation and local anesthesia may be appropriate. During otoplasty, an incision is made along the back side of the ear, hidden in the crease. The skin is pulled back to reveal the cartilage, which is then reshaped using the appropriate technique until the right contours and position are achieved. The incision is carefully closed with sutures to complete the procedure.

How Is Earlobe Repair/Reduction Performed?

Earlobe repair or reduction can be performed in-office under local anesthesia, usually allowing for a comfortable and efficient procedure. Whether the concern is a partial tear (such as an elongated piercing hole), a complete split, or an overstretched opening from gauging, Dr. DiBello will customize the surgical approach to suit the specific condition of the earlobe and restore a natural, symmetrical appearance.

In cases where the earlobes are disproportionately large or ptotic (sagging) due to genetics or the natural aging process, reduction techniques can be used to enhance facial balance and refine the contour. The procedure involves meticulous suturing, and the resulting scars are generally small and discreet.

What Does Recovery from Otoplasty Entail?

Following otoplasty or another type of ear surgery, your ears will be bandaged for several days and you may be required to wear special elastic bandaging around both ears during sleep to keep them protected and properly positioned for several weeks. Some soreness is to be expected in the first few days; however, medication can help manage any discomfort. After a week, patients are usually able to return to low-impact activities. Dr. DiBello typically suggests refraining from vigorous exercise and exertion for a month.

Recovery after earlobe repair/recontouring is usually much more straightforward; it involves an inconspicuous dressing placed over the stitches, and patients generally return to regular activity within 24 to 48 hours. You are permitted to wear clip-on earrings after suture removal, but are advised to avoid re-piercing for three months.

How Much Does Otoplasty Cost?

Except in cases of acute injury or trauma, otoplasty and earlobe repair/recontouring surgery is considered cosmetic in nature, and is therefore not covered by insurance. On average, bilateral otoplasty will cost approximately $7,500. Unlike other prices quoted online, this cost not only includes Dr. DiBello’ s fee, but also the hospital/surgery center fee, anesthesia fees, and pre-admission testing. The total cost for uncomplicated, unilateral earlobe repair is approximately $900, while bilateral uncomplicated repair is approximately $1,350 in the DiBello Plastic Surgery office by Dr. DiBello. Uncomplicated, unilateral earlobe reduction surgery or gauged earlobe repair total cost, also in the office, is approximately $1,100, and bilateral uncomplicated lobe reduction or gauged lobe repair is approximately $1,650. Pricing can vary widely since each patient and procedure is unique.

If you would like to find out how much it would cost to improve the appearance of your ears with plastic surgery, we encourage you to schedule a consultation with Dr. DiBello. Based on the treatment plan Dr. DiBello proposes, our office team can present you with a detailed estimate for your surgery.