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Dr. Humayun Mohmand is a Plastic, Cosmetic and Hair Restorative Surgeon, Certified by the Royal College of Surgeons
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Please be sure to ask your Dr Humayun Mohmand if there is anything you don't understand about the procedure
If you're considering ear surgery... Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears. ~ For the most part, the operation is done on children between the ages of 4 and 14. Ears are almost fully grown by age 4, and the earlier the surgery, the less teasing and ridicule the child will have to endure.Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient.If you're considering ear surgery for yourself or your child, this brochure will give you a basic understanding of the procedure- when it can help, how it's performed, and what results you can expect.It can't answer all of your questions, since a lot depends on your individual circumstances
Nose Reshaping (RHINOPLASTY)

All surgery carries same uncertainty and risk
When ear surgery is performed by a qualified, experienced surgeon, complications art infrequent and usually minor. Nevertheless, .r. with any operation, there are risks association with surgery and specific complocations assiciated with this procedure.

A small percentage of patients may develop a blood clot on the ear. It may sisslove naturally or can be Drawn ant with a nrrdle. Oscaxinnalls, patients develop an rnlrrtion in the iartilagr, which eau cause liar tissue to furm.Sush infections are usually treated with antibiotics; r:vrly, surgery mss he required to drain the infected area.

Planning for surgery

Most surgeons recommend that parent+ stay alert to their dtild•s kelingx shout protnsdurg tars; don't insist on tlic surgery until your child w~nts the ilraugc. t.'hilJrcn who fed unrnnilorrahlr alwur rhrir tars and want the surgrry art gemrally name cooperative rhuirrg the proms and happier wrrh Ihr outcome.
In the inmral rncrnng, your vmgcvn wdl evaluate your rluld'c condition, nr yuun rf y~u are cousidcnng wrgcry for yourself, and reiommenJ the nmsr cffccrne lcchmqur. I Ir or shy will also gi+r son spccifc msrructions nn how to prepare for surgery.

Where the surgery will be performed

Each surgery os usually pnlurmrd as ai ourp:nirnt print date in a hospital, a drRtnr.

• x ntlice-based surgical Lxility, ur a freestanding surgery center. Occasionally, your doctor may

• raummrnd that rhr prtnedure be door as an iuparrent procedure, in whidt cast you can plan nn saying uvcrnrght in the hospital.

Types of anesthesia

II your rhilJ is young, your surgeon may rrrouurtcnd grnrral anarhesia, .m the child wJl slop through the ofs eraliun. 1'or older : hiWrcn nr adultx, the sursetsn may prefer to use Iniol anesthesia, comhiorJ with a xdanve, av you rx yow child will lsc awake but rrlaxcJ.

The surgery

Ear surgrry usually takes about tst•n to three hours, although complicauJ prnicdurcx may take Inugrr. the rrrliruyuc will depend ou the praldrm.

With tore of rhr nrurc common techniyucs, rhr surgeon makes a small incision m tIK back of the em to rxprwr rhr ear carrdagr. Hr or she will thin xrulpt the cartilage and bent it hnik toward the head. Fon~removahle stitches may hr axed to help maintain rhr new shape. Oecasronully, the surgeon will remove a larger pick of anilagr to pro+iJc a mote namrnl luukrng IoIJ when the surgery n iurnplerc.

Another rerhuiyuc involves a similar mrision in the kick of rhr tat. Skin n nmnved and srrti hes are usrJ to fold rhr sartilagr Mark txr rrxl( to rcshapr the r v without removing carrilugc.

In most cases, tat surgery will Icave .t taint oar in the back o1 dtr ear dint wdl fate with time, Even when nnh our tar appeora to pnsuuJc, surgrry ix usually pcrfnuncd on M,rh ~rs for a better balance.

Gettin back to normal
Adults acid chrWren art usually np auJ arnunJ within a few hours of surgrry, although son m.ty (refer to star uvcrnry;ht iu the hoslnlul wide a child until all rhr elkcts of gerxral anrsrlsrsia wear u1L

The patirrrt's head will he wrapped m ~ bulky• Furalage imnxdialcly h,llaw•ing surgery m pronurrc the lest mold ing and healurg. Thr ants may throb nr nchr a little fat a few days, but this ian he mlirvr'd by mrJignnn.
1.Ears that appear to stickout or are overly large can 6e helped by ear surgery
Nose Reshaping (RHINOPLASTY)
2.An incision is made in the hack of the ear so cartilage can be sculpted or folded. Stitches are used to close the incision and help maintain the new shape.
Nose Reshaping (RHINOPLASTY)
3.Creating a fold in the cartilage makes the ear lie flatter against the head and appear more normal
Nose Reshaping (RHINOPLASTY)

  Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Be sure to follow your surgeon's directions for wearing this dressing, especially at night.

Before 'n After Case

Stitches are usually removed, or will dissolve, in about a week.

Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery. Children can go back to school after seven days or so, if they're careful about playground activity. You may want to ask your child's teacher to keep an eye on the child for a few weeks.

Other ear problems

Besides protruding ears, there are a variety of other ear problems that can be helped with surgery. These include: "lop ear," when the top 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. Surgeons can even build new ears for those who were born without them or who lost them through injury.

Sometimes, however, the correction can leave a scar that's worse than the original problem. Ask your surgeon about the effectiveness of surgery for your specific case.

More natural looking ears

Most patients, young and old alike, are thrilled with the results of ear surgery. But keep in mind, the goal is improvement, not perfection. Don't expect both ears to match perfectly- perfect symmetry is both unlikely and unnatural in ears. If you've discussed the procedure and your expectations with the surgeon before the operation, chances are, you'll be quite pleased with the result.