Otoplasty or auriculoplasty (correction of ears)

Cosmetic surgery of ears, also known as otoplasty, is a type of plastic and reconstructive surgery that can improve the size, shape or position of the outer ear through a change of the shape of cartilage. It can be performed at any age once the ears have stopped to grow, which usually happens at the age of 5 or 6 years. Typical otoplasty includes correction of ears which stick out (known also as pinching ears) to decrease their projection. However, ear surgery can also be a favourable option if you want to correct a congenital defect affecting the shape of ear cartilage or lobe. Surgery adds
a more natural shape to the ears, without visible scars.

How should you prepare for surgery?

Your surgeon will perform a physical examination. Then the surgeon will give their recommendations for surgery. Before surgery, the following is required:

You should consult with your plastic surgeon on any drug interactions which may occur with the drugs which you already take. You should stop the intake of aspirin or drugs containing aspirin, nonsteroidal anti-inflammatory drugs or any herbal supplements since they all increase the risk of bleeding. It is possible for you to get a prescription for analgesics and antibiotics after surgery.
You should undergo the required blood tests and consultations with a cardiologist and an anaesthesiologist.
Do not take anything orally (food and water) on the day of the surgery.
For female patients – consider the date of surgery in relation to your menstrual cycle.

What anaesthesia is used for surgery?

Surgery often takes place under general anaesthesia for children and a local anaesthesia for adults, but it depends on the complexity of procedure.

Duration of the intervention?

Usually, the duration of the intervention is about 1-2 hours, depending on a number of circumstances which you must discuss with your plastic surgeon.

What happens during the surgery?

Ear surgery is an outpatient procedure, which means that no hospital stay is required and you can return home about two hours after the surgery. Surgical techniques vary depending on your goals but in general otoplasty includes two main aspects: A change of the shape of the ear and moving the entire ear closer to the head.
After the surgery, your head will be temporarily wrapped in dressing to protect your ears and keep them in place to guarantee the integrity of the results.

What should you expect during recovery?

Usually, adults can resume their typical activities within a few days after the surgery. Usually, a week off school is recommended for children.

Otoplasty has a relatively less strict and painful recovery period in comparison to the majority of other major cosmetic surgeries. After a few days, the dressing will be replaced with a soft headband, as it is not desirable to sleep on one side so as not to compress the ears. Sutures are removed after one week.

You can expect a mild discomfort (itching, swelling and pulsation), which will be controlled with oral painkillers. Avoidance of physical activity for two weeks after surgery will assist for decreasing the oedema. It is typical to feel some tingling in the ears, which usually resolves within one month. After four to six weeks, you can resume all normal activities, including sports.

Frequently Asked Questions

What distinguishes the Cutera excel V+ procedure from other similar procedures?

A non-invasive technology for a discrete, safe and effective treatment with a visible constant result after each procedure, there are absolutely no undesired side effects. The procedure is relaxing and comfortable for the patient.

What areas can be treated?

Excellent results are achieved in the treatment in the areas of the face, neck and décolletage. Upon recommendation by your dermatologist, other body parts can also be treated.

What happens immediately after the procedure?

Immediately after the procedure, a slight redness which disappears within several hours of the procedure, is possible. You can resume your daily routine by applying a sun-protection cream if you are expected to expose yourself to direct sunlight.

How many procedures are required?

Usually, achieving an optimal result requires 4 to 6 procedures with a 4-week interval. The effect is visible after the first procedure; however, it is insignificant in comparison to the achieved final result. Consult your dermatologist on the required number of procedures.

What are the contraindications to the performance of a Cutera excel V+ procedure?

Herpes and other skin infections in the treated area, malignant skin formations, pregnancy, epilepsy and other neurological diseases. Refer to the informed consent form which gives you additional information on the procedure itself and potential risks. It is also the informed consent form that you will sign before the administration of a procedure.