1801 Inwood Rd, Dallas, TX 75390 | (214) 645-2353

Otoplasty (Ear Surgery)

Otoplasty (Ear Surgery)


Otoplasty, also referred to as ear surgery or ear pinning, is a surgical procedure to improve the shape, projection and/or size of the ears. Otoplasty can be used to treat a variety of misshapen ears, but it is most frequently used to treat ears that appear prominent because they protrude away from the head or “stick out too far.” This is a frequent source of self-esteem issues in both children and adults, leading people to conceal their ears with their hair or avoid hairstyles or hats that accentuate the ears. Dr. Derderian is an expert in otoplasty and ear surgery and performs this procedure routinely at his practice in Dallas.

DERDERIAN’S GOALS FOR OTOPLASTY:

The goal of the otoplasty is to create a more natural shape, projection and size to the ear while bringing balance and proportion to the ears and face. Correction of even minor irregularities in the shape, projection or size of the ears can have profound benefits to your appearance and self-esteem. Dr. Derderian customizes his approach to each patient based upon the patient’s anatomy and goals for change in their appearance. EXAMPLE PHOTOS

AM I A CANDIDATE FOR OTOPLASTY?

Otoplasty can be used to treat a variety of misshapen ears. Common concerns treated with otoplasty include:
  • Overly large ears — a condition called macrotia
  • Protruding ears occurring on one or both sides
  • Ears that “stick out too far”
  • Congenital ear malformations including constricted ear, lop ear and cryptotia
  • Uneven ears – size or shape
  • Unsatisfactory results from previous otoplasty
Any patient age 5 years or older is a candidate for otoplasty. The ideal patient is healthy, does not have a serious illness or medical conditions that can impair healing and does not smoke. It is important that the patient has a positive outlook and specific goals for improvement while maintaining realistic expectations for what can be achieved with otoplasty.

WHAT HAPPENS AT THE CONSULTATION?

You will meet with Dr. Derderian to discuss you concerns bout the appearance of your ears and the specific goals you have for improving the appearance of you ears. A complete history and examination will be performed to ensure that you are a good candidate for surgery. After verifying that you are a good candidate, Dr. Derderian will discuss his customized plan to achieve your goals for change and will explain the plan in detail.

HOW IS THE SURGERY PERFORMED?

Otoplasty may include a variety of surgical techniques to improve the contour, size and projection of the ears. Incisions for otoplasty are generally made on the back surface of the ear in the groove between the ear and the head. When incisions are necessary on the front of the ear, they are made within the depths of the folds in the ear to hide them. Internal, non-dissolvable sutures are used to create and secure the newly shaped cartilage in place. Dissolvable sutures are used to close the incision on the back of the ear. A bulky dressing is worn for 3 days after surgery.

WHAT IS THE RECOVERY PERIOD?

Discomfort immediately following ear surgery is normal and can be controlled with oral pain medication. After the dressings are removed a Buff is used as a headband to be worn at night only for 3 months to protect the ears. Patients may return to work or school in 1 week and normal exercise and sports activities in 3 weeks.

WHEN IS THE FINAL RESULT APPRECIABLE?

The swelling that occurs after surgery is minor so the visible changes are immediately appreciable after surgery. When the dressings are removed the ears are still swollen but the ear projection and contours will look normal. As the swelling continues to resolve the appearance continues to improve and the contours look even more refined.

WHAT DOES AN OTOPLASTY COST?

Cost may include:
  • Anesthesia fees – cover the anesthesiologist, their staff and medications
  • Hospital or surgical facility costs – covers the operating room, staff and equipment
  • Surgeon’s fee

WHY CHOOSE DR. DERDERIAN?

Dr. Derderian developed a passion for otoplasty and ear reconstruction early in his training. During his plastic surgery residency at New York University he had extensive training in ear reconstruction and otoplasty techniques with Dr. Charles Thorne, a world-renowned expert in ear surgery. After completing his residency, Dr. Derderian did a fellowship in craniofacial surgery at the University of Pennsylvania and Children’s Hospital of Philadelphia where he received further dedicated training in otoplasty and ear reconstruction with Dr. Scott Bartlett. Dr. Derderian is board certified by the American Board of Plastic Surgery. He is a well-recognized expert in ear reconstruction for congenital anomalies such as microtia and constricted ears and he regularly performs otoplasty and ear reconstruction in both his pediatric and adult practices. Dr. Derderian is frequently asked to give lectures about otoplasty and ear reconstruction and has multiple publications related to ear surgery.

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