PROTRUDING EARS – OTOPLASTY Posted in: Most Frequent Procedures

It is very convenient to read and re-read these instructions, and to find answers too many of the doubts and questions that are often made about plastic surgery for prominent ears.

Surgery for correction of prominent ears, also called otoplasty, is one of the cosmetic surgeries that can raise self-esteem from an early age, and is quick and common procedure. Usually it takes 30 minutes on each side. It is sometimes only one ear that must be corrected.

Prominent ears are not necessarily large ears. To confirm this, measure up and compare the longest axis of your child with those of yours, and you will find approximately the same size. What happens is that they are more detached from the head than the generality. This is a congenital phenomenon and not a sign of any disease.

To correct this protrusion of the pinna, we cut back and cut and/or fold the cartilage, to suture the skin and leave it in a position closer to the skull. We leave a dressing or swab with mineral oil and remains so for about 7 days.

This operation is extremely simple, and is sought both from adults and children.

It is my experience that minor patients, do well in a clinic or a short stay facility of a hospital, asking the anesthesiologist to give IV sedation or general anesthesia. If you are an adult, I will do with local anesthesia in the office.

In the case of children, I usually am carefully assessing the child’s attitude to the need for surgery, and the fear they could have about the operation itself. Usually the two issues they mostly fear are being alone in their operation and the pain of the pinpricks. There are children who very open and tolerant, so we can work well with local anesthesia, talking to them and their parents.

I prefer operate children before entering elementary school. This is because I prefer the size of the ear to reach a maximum of normality, which is at 6 years in children, and at 7 in girls, about 6 cm in its longest axis, and when anesthetic risk is not high. It also has the advantage that the child will enter Elementary School with his/her ears corrected, avoiding teasing or scorns that sometimes they are subject to.

Regarding indication, I don’t like to operate children by force, when the desire to correct their ears come only from their parents. It is necessary for me to operate that I remain convinced that it is the child who wants the operation in the first place. (Click Emotions and Plastic Surgery to learn more about the emotional issue). Operating a child under pressure could be cause of emotional abuse and trauma.

Next, I present recommendations for before and after this operation.

BEFORE SURGERY:

Do not take aspirin, or derivatives of aspirin 2 to 3 weeks before. Click Non-Recommended Medicines for more information. Wash your face and ears very well once a day for three consecutive days before operation, with Isodine or Lever 2000 liquid soap foam. Do not drink any water; much less eat lunch or snacks from 12 pm the night before surgery. Carry only the most necessary clothing, (one change only), and comfortable shoes. If you get a cold or you get pimples, call the office before.

Any doubts about this surgery, please call the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976.

AFTER SURGERY:

You or your child will be discharged the same day at 5 pm, if I started surgery early in the morning. If you live in US, you’ll stay overnight at the clinic to be discharged the next morning. Please click To my patients that live outside of Tijuana for more information.

I will ask you to carry a scarf or cap and very large dark glasses, for leaving the Hospital.

Go straight home and stay in your bedroom for 24 to 48 hours, bathroom privileges and the three meals with assistance. The first nights you can drink sips fluids, and gradually increase until soft diet. If you don’t have nausea, you may eat normally.

You will leave with a bandage around your head, covering your ears, same to be replaced after 6 days by a ballerina, or tennis band and should be used for another 7 days to protect the ear and maintain ears in place.

Avoid the sun, hot meals, hot baths and hot environment for a week. You will need only rest and sleep on your back, and never sideways. Do not touch or discover the ears until told to do so, do not expose to bumps, even minor.

Take your medicine as directed to leave the Hospital. You cannot drink alcohol during your convalescence. Typically you are asked to come to the 6th, 10th and 15th days and thereafter every 15 to 30 days. Usually patients do not complain of any pain, but if it happens, take your pain medication as directed. You may take a normal shower upon stitch removal at 7 days. You can shower without water touching your head.

To see some of this surgery cases operated on, click Photo Gallery.

Any doubts about this surgery, please call the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976.

We wish you a speedy recovery and an excellent experience with your implant surgery.

Any doubts about this surgery, please call the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976. We wish you a speedy recovery and an excellent experience with your esthetic lid surgery, send an email or click Contact us for more information

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