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"My
ears are too big" or "My childs ears
are too big" is a comment complaint from patient
and parents. Pinning the ears behind the head
solves the whole problem. People with prominent
ears are easy targets among friends and colleges.
Children
after six years of age can have surgery. This
procedure gives a good result.
Modern techniques in cosmetic otoplasty incorporate
both historical procedures and recently developed
combined procedures with laser assistance to correct
protruding ear or "lop ear" deformity.
The multiple-procedure technique is conceptually
sound and uses simple, innovative methods to reduce
surgery time and yield predictable outcomes for
both young and older patients. Early indications
are that complications and revision rates have
been reduced with the introduction of lasers in
otoplasty. Modern technology allows physicians
to correct "lop ear" deformity and help
amend patients’ distorted self-images.
Though there are a number of different approaches
which address this procedure, the most common
one involves the reshaping or removing of some
of the cartilage behind the ear. After opening
the back of the ear, the surgeon either removes
some of the cartilage or folds it on to itself
and sutures it together. Since the work is done
on the back of the ear, any scars are usually
faint and can be hidden in the creases.
This procedure offers dramatic, immediate results
that will last a lifetime. It's a great example
of the important psychological benefits that often
result from Cosmetic Surgery.
Complications with this procedure have been minimal,
with rare instances of infection or hypertrophic
scarring. Less than 2-3% of patients require additional
surgeries, although occasionally a secondary revision
of the anterior Mustardé procedure may
be necessary. The conchal set-back technique seems
to be long-lasting and permanent with minimal
incidence of suture extrusion. The conchal set-back
appears to account for 70-80% of the aesthetic
correction.
The Procedure
Ear Surgery alone takes approximately
1 hour to perform and may be combined with
other facial procedures.
A local anaesthetic is generally used. In addition
to the local, various drugs are used before, during
and after surgery to make you comfortable and
steady.
Dissolving sutures are used which means you do
not have to return to the clinic to have them
removed.
After surgery, the ears are covered with a dressing
that is removed after 4 - 5 days. A support head
band will be given to you to wear at night for
the next four weeks to prevent damage to the surgery
while the ears are healing, during your sleep.
After surgery, any minor pain or discomfort you
experience can be controlled with medication.
Postauricular Incision
The incision is made in the postauricular crease
with the length varying from 2.5 to 2.7 cm.
Second Ear
Otoplasty is now performed on the second
ear to achieve a comparable anatomical correction.
By first operating on the most difficult ear and
then matching the second (less difficult ear),
symmetry is more easily achieved.
Preparing for The Operation
Products that contain Aspirin, Vitamin
E, or Evening Primrose oil should be avoided for
four weeks before surgery.
Strong alcoholic drinks should be avoided before
surgery.
Important: Patients should not
smoke for two weeks before surgery and for a few
days after surgery. Smoking interferes with the
circulation of blood to the skin and can cause
death of the skin flaps.
Patients should purchase Betadine shampoo use
it to wash their hair the night before surgery
(if surgery is scheduled for the morning) or the
morning before (if surgery is scheduled for the
afternoon). Hair may be conditioned and blow dried.
On the day of surgery, the patient should
wear comfortable, loose clothing. A button up shirt is recommended.
Patients must not wear any make-up (including
mascara and nail polish) when they go into surgery.
If the patient tints, dyes or bleaches his or
her hair, this should be done no later than one
week before surgery.
Post Operative Care
After the first 24 hours, dressings are removed and the patient may shower. On the second postoperative day the patient is allowed to start moderate activities and after 2 weeks normal activities can be resumed. During the first 1 to 2 weeks, the patient wears a ski headband or something comparable at night for the next 6 weeks. The dressings not only serve to support the ear, but also as a helpful reminder.
On removal of the dressing, patients can observe
an almost complete correction of their deformity.
Within a few weeks, the wound has dramatically
improved and the surgical corrections are less
apparent and more natural in appearance.
Typically, most patients are up and around a day
or two after surgery. You will be quite presentable
1 week after surgery however full healing can
take up to 3 months.
Rest with your head elevated for the first 2 -
4 days. You can shampoo your hair once your dressing
has been removed. Do not wrap the towel around
your head as this will pull the ears forward.
Dry thoroughly behind the ears after each shower.
Burning, tightness, itchiness and puffiness are
normal for the first few weeks. Any excessive
bleeding, discolouration or swelling should be
immediately reported to The Centre.
Cost of Procedure
To find out the cost of this procedure use our
Online Quoting System
or Contact Us.
Treatments available at our Brisbane and Gold Coast Clinics
Windsor - Indooroopilly - Upper Mt. Gravatt - Bundall
  
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