New England Cosmetic Surgery & Laser Center

Boston Plastic Surgeon - Weymouth MA -

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What Is Otoplasty? A Comprehensive Guide to Ear Reshaping Surgery

The shape, size, and position of your ears can significantly impact your appearance and self-confidence. While many people never give their ears a second thought, those born with prominent or misshapen ears often become acutely aware of them from an early age. Childhood teasing about “dumbo ears” can leave lasting emotional scars, and even adults may feel self-conscious about ears they perceive as disproportionate or asymmetrical.

Otoplasty (ear reshaping surgery) offers a solution for those looking to address these concerns. This surgical procedure can transform protruding, asymmetrical, or deformed ears into a more balanced, natural appearance that complements your facial features rather than distracting from them.

What Is Otoplasty (Ear Surgery)?

Otoplasty is a surgical procedure designed to reshape, reposition, or reduce the size of the ears. Unlike many cosmetic procedures that focus on combating signs of aging, otoplasty primarily addresses congenital issues or concerns resulting from trauma. The procedure has a remarkable ability to enhance facial harmony and boost self-confidence with relatively minor intervention.

During otoplasty, Dr. Lazor makes precise modifications to the cartilage and skin of the ear to create a more aesthetically pleasing shape and position. This might involve setting prominent ears closer to the head, reducing oversized ears, or reconstructing missing or damaged ear components. The specific techniques used depend entirely on your unique anatomy and aesthetic goals.

Otoplasty creates permanent results with a single procedure. Once your ears heal, the new shape and position remain stable throughout your lifetime.

Who Can Benefit From Otoplasty?

Ear reshaping surgery can address a wide range of concerns, making it appropriate for a diverse range of patients. You might consider otoplasty if you have:

Protruding Ears

The most common reason for otoplasty is overly prominent ears, which often occur due to genetics. This happens when the antihelical fold doesn’t form properly or the conchal bowl is overdeveloped. Surgery corrects these issues, bringing the ears closer to the head for a more balanced look.

Asymmetrical Ears

Mild ear asymmetry is common, but noticeable differences in size, shape, position, or projection can be corrected with otoplasty for better balance.

Macrotia (Oversized Ears)

For overly large ears, reduction otoplasty removes excess cartilage and skin to create more balanced proportions while preserving natural contours.

Congenital Abnormalities

Conditions like microtia or other ear deformities can be addressed with reconstructive otoplasty, which reshapes or rebuilds the ear for a more natural look.

Earlobe Concerns

Otoplasty can reshape and repair elongated, torn, or naturally large earlobes caused by aging, heavy earrings, trauma, or gauges.

Post-Traumatic Deformities

Injuries can damage ear cartilage and lead to deformities. Reconstructive otoplasty can restore a more natural appearance to ears affected by trauma.

What Is the Ideal Age for Otoplasty?

While otoplasty is often done between ages 5 and 14, when cartilage is soft and ears are nearly fully grown, adults of any age can benefit too. Early surgery can help prevent teasing, but many adults choose the procedure later in life to address long-standing insecurities, often with equally positive psychological results.

What Happens Before, During and After Otoplasty?

Consultation and Planning

Your otoplasty journey begins with a comprehensive consultation. During this meeting, Dr. Lazor will:

  • Examine your ears and facial proportions. 
  • Listen to your concerns and aesthetic goals. 
  • Take photographs for planning and before-after comparison. 
  • Discuss realistic expectations and potential outcomes. 
  • Review your medical history to ensure you’re a good candidate for surgery. 
  • Create a customized surgical plan tailored to your unique anatomy.

This consultation provides the perfect opportunity to ask Dr. Lazor questions and address any concerns you may have about the procedure, recovery, or results.

Surgical Technique

On surgery day, you’ll receive local anesthesia with sedation or general anesthesia, depending on your case. The procedure usually takes 1–2 hours for both ears. 

For protruding ears, Dr. Lazor makes a discreet incision behind the ear, removes excess skin, and reshapes cartilage. Sutures create or enhance the antihelical fold and reduce the conchal bowl to bring the ear closer to the head. In cases of ear size reduction, cartilage and skin are carefully trimmed while maintaining natural contours. Once done, the area is sutured and dressed for healing.

Recovery and Aftercare

Immediately after surgery, your ears will be covered with bandages to protect them and support their new position. This bandage typically remains in place for several days. When removed, you’ll likely need to wear a headband, especially at night, for several additional weeks to prevent the ears from being pulled forward during sleep.

Most patients experience mild to moderate discomfort in the first few days, easily managed with prescribed pain medication. Expect some swelling and bruising, which gradually subsides over the first week or two. Any non-dissolving sutures are typically removed after about one week.

During recovery, you should:

  • Sleep with your head elevated to reduce swelling. 
  • Avoid vigorous physical activity for approximately three weeks. 
  • Refrain from swimming until fully healed. 
  • Protect your ears from extreme cold, which can cause discomfort. 
  • Follow all specific aftercare instructions provided by your surgeon.

Children typically return to school within a week, while adults can often resume work within 3-5 days, depending on the physical demands of their occupation.

A Pathway to Confidence — Refresh Your Face With Dr. Lazor

Otoplasty is an effective solution for those self-conscious about their ears, offering permanent, natural-looking results with minimal recovery. Whether addressing prominent ears or asymmetry, it enhances both appearance and confidence.

For facial rejuvenation, consult Dr. John Lazor at New England Cosmetic Surgery & Laser Center. As a board-certified facial plastic surgeon, Dr. Lazor will create a personalized treatment plan to help you achieve your aesthetic goals. Contact us today to schedule your consultation.

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Dr. Lazor

JOHN B. LAZOR, M.D., M.B.A., F.A.C.S.

Dr. Lazor is a board-certified facial plastic surgeon, as well as an Instructor at Harvard Medical School. His specialty areas include facial plastic and reconstructive surgery.

Dr. Lazor has spent the last 23 years operating on the face and neck and specializes in rhinoplasty, revision rhinoplasty, facelifts, mini facelifts, neck lifts, eyelid surgery (blepharoplasty), chin implants, and brow lifts. He has 4 state-of-the-art lasers for treating facial/leg vessels, pigment, scarring, acne, rosacea, and facial/body hair. This includes the new state of the art Quadralase fractional CO2 laser.

Dr. Lazor has been treating patients with Botox for cosmetic and functional reasons for over 20 years, and is also an expert in facial fillers and facial contouring.

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875 Main Street
Weymouth , Massachusetts , 02190
(781) 337-5665

*Unless otherwise stated, models are used throughout this website. Individual Results may vary.
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