If your ears stick out more than you’d like, you’re not alone. Protruding ears are a common physical feature, but for some, they can be a source of discomfort or unwanted attention. In this blog, Chester Consultant Plastic Surgeon Anca Breahna discusses everything you need to know about overly prominent ears, including why they occur and the full spectrum of treatments available—from simple at-home strategies to medical procedures.
The shape and position of your ears are largely determined by genetics, which means they are inherited from your parents. During the developmental phase in the womb, the cartilage that forms the ear structure might not fold properly, leading to ears that stick out. While this is a natural variation in human anatomy, it is quite common and usually harmless.
Protruding ears are quite a frequent occurrence, affecting around 5% of the population. It’s a condition observed worldwide and seen equally across all ethnicities and genders. The consistency in numbers suggests a strong genetic link, and because it does not typically affect hearing, it is often considered more of a cosmetic concern than a medical one.
You might consider seeing a specialist if you or your family are feeling unhappy about the appearance of your ears. It’s especially important for parents to observe any signs of distress in their children regarding their appearance. A consultation with Anca can provide guidance.
During the consultation, Anca will examine the ears, discuss the possible treatments, and explain what each procedure entails, including the benefits and potential risks. It’s an opportunity for you to express your expectations and for Anca to provide a realistic outcome of what can be achieved.
For new-borns, ear moulding can be an effective treatment if started within the first few weeks of life. This non-surgical method involves applying a soft brace to the ear that gradually shapes the cartilage. Early intervention is key as the cartilage is most pliable and responsive to reshaping during this time.
Another non-invasive option is the use of compression headbands. These are typically used for infants after the ear moulding window has passed but can still be effective in slightly older babies. The headband gently presses the ears closer to the head, helping to reshape the cartilage gradually.
Otoplasty, commonly referred to as ear pinning, is a surgical procedure aimed at changing the shape, position, or size of the ears. This option is considered when non-surgical treatments are not viable or have not been successful. The surgery is usually performed on children aged five or older, as by this age, the ear cartilage is stable enough for correction and the child can participate in the recovery process.
There are several techniques that Anca may use, each suited to different needs and outcomes. Here’s an overview of the most common types of otoplasty techniques:
The pinning technique is the most traditional form of otoplasty and involves reshaping the ear’s cartilage to create or enhance its natural folds. This helps in pulling the ears closer to the head, reducing their prominence. During the procedure, Anca makes a small incision behind the ear to access the cartilage. The cartilage is then sculpted and secured using permanent sutures that hold the ear in the new position. This method is highly effective for those who wish to achieve a more natural ear contour.
Scoring involves making precise cuts or scratches on the cartilage to weaken it, allowing it to bend towards the head. This technique can be used alone or in combination with other methods to help achieve the desired ear shape. By scoring the cartilage, Anca can manipulate the ear more extensively, which is beneficial for cases where the ears need a significant repositioning. This method requires a skilled hand to ensure that the cartilage bends correctly and heals in a more aesthetically pleasing position.
Suture techniques in otoplasty do not involve cutting the cartilage. Instead, sutures are strategically placed to fold the cartilage back on itself. This method is less invasive and relies on stitches to hold the new shape of the ear. There are different suture techniques, including:
Each of these techniques has its advantages and potential challenges, and the choice of which to use will depend on individual factors such as your age, the elasticity of the ear cartilage, and the degree of correction needed. Anca will assess these factors and recommend the most appropriate technique to achieve a balanced, natural-looking result. Following the surgery, patients usually experience a transformation not only in their appearance but also in how they feel about their ears, often leading to increased comfort in social situations and a broader range of hairstyle options.
Before proceeding with otoplasty, a thorough medical evaluation is necessary to ensure the suitability for surgery. This includes a detailed medical history and a physical examination. Depending on your health, additional tests may be required to clear them for the procedure.
Preparing for surgery involves several practical steps to ensure a smooth process and recovery. You will need to arrange for time off from work or school and prepare your home for your post-surgery recovery period. It is also important to have someone available to help with your immediate needs after the surgery, such as driving you home and assisting you during the first few days.
Otoplasty is generally performed under local anaesthesia with sedation, though general anaesthesia may be used, especially for younger children. The surgery takes about two hours. Anca will make incisions behind the ears to minimise visible scarring and then sculpt the cartilage into a more typical position closer to the head.
The type of anaesthesia used will depend on the extent of the surgery and your comfort and safety requirements. Local anaesthesia with sedation allows patients to be comfortable and pain-free during the procedure while minimising the risks associated with general anaesthesia.
After the surgery, it’s common to experience some discomfort, swelling, and bruising around the ears. This is a normal part of the healing process. Anca will apply bandages around your head to support the new position of the ears and to aid in the initial healing phase. You’ll be given detailed instructions on how to care for your ears during this time, including how to sleep in a position that does not put pressure on the ears.
Recovery from otoplasty can vary, but usually the bandages are removed after a few days and replaced with a lighter dressing. You may be advised to wear a headband at night to maintain the position of the ears for several weeks after the surgery. It’s important to follow all post-operative instructions and attend follow-up appointments to ensure proper healing. Most patients can return to school or work within a week, but should avoid any activity that might bend the ears for at least a month.
As with any surgical procedure, there are risks involved in otoplasty. These can include infection, bleeding, and an adverse reaction to the anaesthesia. Specific to ear surgery, there is also the risk of asymmetry, where the ears may not be perfectly aligned or have a different shape. Scarring is another risk, although typically these are behind the ears and not visible.
The cost of otoplasty can vary widely depending on the surgeon’s experience, the complexity of the procedure, and the geographic location. It’s important to get a detailed quote from your surgeon’s office that includes all associated costs, such as the surgeon’s fee, facility fees, and anaesthesia.
The average cost of otoplasty in UK ranges from approximately £2,500 to £8,000. This price typically includes the surgeon’s fee, costs of anaesthesia, and facility charges. It is important to note that these prices are indicative and should be confirmed before scheduling the procedure.