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Otoplasty, also known as ear surgery, is a surgical procedure designed to reduce the apparent size of the ears. It is important to highlight the term “apparent”, since not all the procedures change the real size of the auricle.  This procedure enhance enormously the physical aspect of the patients, making a positive impact in their self-esteem.

This specific kind of surgery is more common among teenagers and kids. Even though, many adult people, that weren’t lucky enough to have it during their childhood, are also good candidates. It is a little invasive method so that it usually leads to no complications and a fast recovery process.

Though it may feel trivial, for many people having big ears can be an important factor for their self-esteem. Bullying throughout the school experience is very normal and, even during adulthood, emotional scars remain and they can affect patients mental health. That’s why quick and easy procedures like this are a fast and helpful option for many.


As it was said, otoplasty is very frequent in children from 4 to 7 years old. If it is a case of ear prominence that might be influencing  the self-esteem of the kid, it is strongly recommended to track child’s behavior. The kids should be observed during several days, watching their actitud at school or among their friends or social circles. Before taking your children to the operations rooms, you must ensure that the procedure is something he or she desires.

It is also good alternative for adults that have prominent, elongated or irregular ears and earlobes. In general, since it is an ambulatory method, adults of all ages are good candidates to pass throughout the process. Which invasivity is such little, that it is one of the few plastic surgeries that can be done in children and teenagers almost everywhere.


Otoplasty is in fact a very simple intervention to correct ear position. Priorly, before starting the surgery, the surgeon will ask for information regarding patient’s health and concerns. It is important for the patient to use that first space to solve any doubt that might be, so that the rest of the process can flow calmly. On the one hand, patient must clarify anything about preoperative, the operation itself, and the postoperative phase, including possible inconvenients and complications. On the other hand, the doctor will ask important information of health and mental conditions.

It is also essential for the relation between the patient and the doctor, and the achievement of satisfactory results, to align expectations. So that, there is no confusion when the patient see the looking of their ears.  This surgery seeks to find an improvement in the physical appearance. However, as in any other kind of plastic surgery, perfection is impossible. Patients shouldn’t expect perfect symmetry, since for must of the people this feels antinatural.


The intervention is always done in a hospital or a medical office that have the conditions required. Since it is an ambulatory procedure, it is usually undertaken outside the operations room and is frequently done in a less formal section of the medical center.

Local anesthesia is usually implemented with sedation in cases in which the patient is very young. However, sometimes the surgeon might prefer the usage of general anesthesia, especially among adult patients.

The procedure begins with a tiny incision behind the ears, aiming to  leave no visible scars. After it, the surgeon proceeds to remodel the auricle cartilage, reshaping it to acquired the form and the position need to achieve the expected results. It is usually pull back so the ears don’t look too prominent. In certain cases, entire sections of the cartilage are removed by the doctor to find a natural looking when the ears’ position is changed. Surgeons frequently leave inner stitches to keep them in place. To close the procedure, a section of skin is removed from the back base of the auricle.

Despite some patients might have only one unsightly ear, both are usually change in order to achieve a look of regularity.

In cases of microtia, when the patient has sort kind of undeveloped ears or they have been damaged due to some accident, the surgery might take much more time. Since the ears might required special techniques of reconstruction. In such situations, it is recommended to look for a surgeon that is specialized in reconstructive cases.

The whole intervention lasts around 2 to 3 hours


Some discomfort is common after the surgery, but it won’t be a painful experience. Tingling, inflammation, altered feeling, slight pain and plugging sensation of the external auditory canal, are the common issues.

The time estimated for recovery is just one week for normal activities and at least a month for extreme experience and sports


  • A lot rest for around 24 to 48 hours after the surgery, and relative rest during 8 days.
  • Take the analgesics suggested by your surgeon.
  • Take the antibiotics that are advised for your specific case. Regarding this topic, it is also recommended to eat yogurt during the antibiotic treatment since that kind of medication can affect intestinal flora
  • Using the bandage that is suggested to avoid ears’ movements.

Keep in mind that you must always choose the best plastic surgeon to avoid any inconvenience, Doctor César Calderón is a renowned plastic surgeon in Peru.

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