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Otoplasty, or ear surgery, is a surgical procedure that can reshape and reduce ear size, to promote symmetry. Not only is it possible to "pin back" ears for aesthetic reasons, but there are also a variety of ear problems than can be helped with otoplasty. These include: "lop ear," when the tip seems to fold down and forward; "cupped ear," which is usually a very small ear; and "shell ear," when the curve in the outer rim, as well as the natural folds and creases, are missing. Surgery can also improve large or stretched earlobes, or lobes with large creases and wrinkles.
The surgical technique for otoplasty may vary with each patient's condition. With one of the more common techniques, a small incision is made in the back of the ear to expose the ear cartilage. Then the cartilage is sculpted and bent back toward the head. Non-removable stitches may be used to help maintain the new shape. Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage.
Otoplasty is performed as an outpatient procedure under general anesthesia. The procedure takes about 2-3 hours to complete. Soft, but bulky dressings will be applied to the ears following the procedure to promote effective molding and healing. Most patients experience some mild discomfort with ear aches, which can be relieved by medication. Stitches are usually removed, or will dissolve, in about one week. Most adults can go back to work about five days after surgery. Children can go back to school after approximately seven days, if they are careful about playground activity.
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