Baltimore, Maryland Otoplasty / Ear Setback Surgery
Dr. Adam Summers

Cosmetic surgery of the ear, also known as otoplasty, is a procedure that helps reduce protrusion of the ear away from the head or reshapes the ear to achieve a more pleasing contour.  Frequently, cosmetic ear surgery (otoplasty) is performed on children between the ages of four to fourteen.  Ears that “stick out” are often the source of teasing and ridicule in young children.  This teasing can have a devastating effect on the child’s psyche.

Otoplasty is not limited to children and is also be performed on adult patients at the Maryland Plastic Surgery Center.  Cosmetic procedures are available for those individuals with large ears and for those with congenital (birth) irregularities that detract from their appearance.  Additionally, an individual’s ears may exhibit abnormal traits due to their genetic make-up or an accidental injury.  Otoplasty is used successfully for each of these situations.  Regardless of the procedure, patients have been pleased with the long-lasting improvements to their appearance offered by ear surgery. 

• Bring proportion to the face if the ears “stick out” too much.
• Correct folded ear tips ("lop ear" or "cup ear").
• Reshape long or offset earlobes.
• Enhance very small ears or other congenital defects.
• Remedy an accidental injury, including the loss of an ear. 

At the Maryland Plastic Surgery Center, ear surgery is commonly performed under general anesthesia for children and local anesthesia for adults.  The standard otoplasty procedure brings the ears closer to the head.  Otoplasty begins with an incision hidden in the crease behind the ear.  This incision allows the cartilage located behind the ears to be reshaped in order to position them closer to the head.  The procedure takes approximately one to two hours, depending upon the extent of surgery.

There are various surgical techniques involved in correcting irregularities other than protruding ears.  These techniques can be discussed with Dr. Summers during the initial consultation. 

After the surgery is completed, bandages will be wrapped around the head. This method secures the ear in place and assists with the healing process.  The bandages are usually removed within a week and replaced with smaller dressings.  Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time.  Patients sometimes report minor pain associated with surgery.  Any discomfort is treated effectively with oral medication.