“Ears in harmony with your face for a new beginning.”

Otoplasty is a procedure that goes beyond cosmetic correction; it is a procedure with a profound psychological impact, especially for younger patients. Prominent or congenitally defective ears can become a source of discomfort, derision, and insecurity, affecting a child or young person’s emotional and social development. Addressing this condition with sensitivity, balance, and precision is essential to ensure not only a harmonious aesthetic result, but also to contribute to the patient’s psychological well-being.

Indications for otoplasty

Otoplasty is indicated in cases of: Prominent ears (called fan or loop ears) due to a defect in the anthelix fold or an overdeveloped concha. Asymmetries between the ears. Congenital or post-traumatic deformities. Correction of previous surgery (secondary). Although surgery can be performed in adulthood, it is preferable to intervene as early as childhood, usually after age 6-7, when the ears have completed much of their development and the child can be spared years of psychological suffering.

The psychological impact of the physical defect

For children and teens, living with a perceived glaring defect, such as prominent ears, can be a source of discomfort mockery and bullying. Prominent ears are often the subject of name-calling and teasing, undermining self-esteem. Social isolation: Fear of being judged leads many children and teens to withdraw or avoid situations where they may feel exposed. Low self-esteem: As they grow up, this discomfort can settle in and negatively affect self-confidence and body image. An otoplasty, performed carefully and at the right time, can alleviate this suffering, allowing the patient to live with greater confidence and peace of mind.

Surgical techniques

Otoplasty techniques vary according to the anatomical defect to be corrected, but the goals are always the same: to obtain ears that are harmonious, symmetrical, and well-proportioned to the face, without distorting its naturalness.

Cartilage reshaping technique indicated when the anthelix fold (the upper edge of the ear) is missing. Cartilage is shaped by incisions or sutured to create a new fold.

Reduction technique: of the auricular concha indicated in cases where the concha is too deep, pushing the ear forward. The cartilage is reduced or repositioned, bringing the ear closer to the head.

Combined techniques: Prominent ears are often the result of multiple defects, and surgery combines anthelix reshaping and concha reduction techniques to achieve the best result.

Security and recovery

Otoplasty is a safe surgery with a low complication rate when performed by experienced hands. However, safety must remain a top priority.

Thorough planning

A preliminary evaluation allows the specific characteristics of the defect to be identified and the most suitable technique to be chosen. Anesthesia: generally under local anesthesia for adults, while general anesthesia is preferred for children to provide more peace of mind. Recovery: after surgery, it is necessary to wear a protective bandage for a few days to stabilize the ears and promote optimal healing. Swelling and bruising resolve in a few weeks. The results are definitive, with minimal scarring and well hidden behind the pinna.

Conclusion

Otoplasty is not just an aesthetic procedure; it is a procedure that improves quality of life, helping patients overcome insecurities that often affect their relationships and self-perception. With the right technical and psychological attention, the procedure can turn into a liberating experience, giving not only more harmonious ears but also renewed self-confidence.