Ear Correction - Methods

The cosmetic correction of the ear cartilage (pinna), also known as an otoplasty in medical terminology, is undertaken for patients who have protruding or asymmetric ears or for whom the ears are located in a visually disadvantageous position in comparison to the head. For protruding ears, in most cases the so-called anthelix, i.e. the main, Y-shaped plication or fold in the ear, is too weakly developed or has not developed at all. In order to attach the ears to the head, the plication must be renewed and fixed in its new position; the position of the pinna in relation to the head may also need to be corrected.³

The procedure can theoretically be carried out at any age, but for children it should generally be performed after five years of age when the growth of the pinna is mostly complete.⁴

The operative process consists of a combination of incision, scoring, and stitching techniques whose application is governed by the severity of the deformity as well as the condition of the cartilage. In children up to age 10, the cartilage is still soft, flexible, and easy to shape, while the cartilage in adults exhibits a firmer consistency. In children under 10 years of age, a stitching method is often the sole method employed, whereas for adults, a combination of incision, scoring, and stitching methods is necessary.⁵

Operative access to the cartilage normally occurs through the back side of the ear so that later scars cannot be easily recognized. Access via the front side is less common.6 The cartilage is laid bare and thinned out until it lies in the desired shape. The new position is fixed with stitches. Should the position of the pinna in relation to the head likewise need to be corrected, this is done by splitting the rear ear muscles and subsequently repositioning the pinna. The skin is then closed with a continuous stitch.⁷

The goal of the operation is a reduction in the angle between the pinna and the skull to between 15-20° as well as an accentuation of the anthelical fold.⁸  In addition to the pinna correction methods described, there are a multitude of variants that your doctor will gladly explain to you.