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Pinnaplasty, also known widely as otoplasty, is a refined surgical procedure aimed at reshaping the ears to improve their appearance or correct deformities. At our clinic, led by the esteemed Consultant Plastic Surgeon Anca Breahna, we understand that the aesthetics of one’s ears can often lead to feelings of self-consciousness, particularly if the ears are perceived to protrude more than usual. Our approach to pinnaplasty is not just about achieving aesthetically pleasing results, but also about enhancing your natural beauty and restoring your confidence.

This procedure can be performed at any age after the ears have reached their full size, typically after the age of five. Whether you are seeking to correct an imbalance or improve the shape of your ears, Anca combines meticulous technique with artistic insight to ensure that each outcome is balanced, proportionate, and harmonious with your overall facial structure.


At a glance

Expected results
flatter looking ears
Treatment time
90 min
local or general
2 weeks

Table of Contents

Who Needs Ear Surgery – Pinnaplasty?

Pinnaplasty is considered by individuals who are self-conscious or unhappy with the appearance of their ears. It is suitable for patients who have one or more of the following concerns:

  • Protruding Ears: One of the most common reasons for undergoing pinnaplasty is to correct ears that stick out prominently. This condition can affect one or both ears and can lead to psychological distress and self-esteem issues.
  • Asymmetrical Ears: Individuals may choose pinnaplasty to adjust asymmetrical ears where one ear may appear higher or more protruded than the other.
  • Oversized Ears: People with macrotia, a condition where the ears are larger than normal, often opt for ear surgery to reduce their size and achieve a more balanced look.
  • Congenital Defects and Injury: Pinnaplasty can also correct congenital defects such as a lack of ear folds, or deformities caused by injury.
  • Psychological Well-being: Many adults and children opt for ear surgery to alleviate the psychological impact of being teased or bullied about their ears. Pinnaplasty can dramatically improve one’s self-confidence and emotional well-being, helping them feel more comfortable in social situations.

Choosing to undergo pinnaplasty is a significant decision that should be made with careful consideration. Anca ensures that all potential patients undergo a complete evaluation to discuss their goals, expectations and any concerns they might have about the surgery or its outcome.

Anca and her team are dedicated to providing a supportive environment where patients can freely express their desires and concerns. The goal is to ensure that each patient feels informed and confident in their decision to pursue pinnaplasty. The consultation process helps to establish a clear understanding of the potential benefits and risks associated with the procedure.

By addressing all these factors, Anca helps patients achieve not just physical enhancement of their ears, but also a renewed sense of confidence and well-being that comes from feeling more proportionate and balanced in one’s appearance. This approach to cosmetic surgery underscores the potential of pinnaplasty not just on a physical level, but also on an emotional and psychological one.

Benefits of Pinnaplasty

Pinnaplasty offers numerous benefits, ranging from improved aesthetic harmony to psychological wellbeing. Anca emphasises the multifaceted advantages of this procedure, which include:

  • Improved Self-Confidence and Self-Esteem: Many individuals who opt for ear surgery feel self-conscious about their ears; they may avoid certain hairstyles or activities where their ears are exposed. Pinnaplasty can alter one’s self-image and confidence levels, enabling them to feel less self-aware and more outgoing.
  • Aesthetic Enhancements: Pinnaplasty can significantly improve the proportion and symmetry of the ears in relation to other facial features. By correcting issues like protruding ears, asymmetry, or disproportionate sizes, Anca helps patients achieve a more balanced and pleasing appearance.
  • Permanent Solutions: Unlike some cosmetic procedures that require ongoing treatments, the results of pinnaplasty are permanent. After the ears have healed, the new shape will be maintained throughout your life, providing a long-term solution to concerns about ear appearance.
  • Minimal Scarring: Incisions for pinnaplasty are generally made behind the ear, where they are hidden from view in the natural crease between the ear and the head. This strategic placement minimises visible scarring, making it unlikely that others will notice that surgery has been performed.
  • Low Risk of Complications: Ear surgery is considered a safe procedure with a low risk of complications. Anca’s extensive experience and meticulous surgical techniques further reduce these risks, ensuring a safe and effective outcome for her patients.
  • Enhanced Comfort: For some, protruding or misshapen ears can cause physical discomfort, such as when wearing hats or glasses. Pinnaplasty can alleviate this discomfort by repositioning the ears for better functionality and comfort.
  • Broad Age Range: Pinnaplasty can be performed on children, teenagers, and adults alike, making it a versatile option for improving ear aesthetics at any age. For children, the procedure is often recommended after the ears have reached their full size, typically by age five.


Before & After

See the difference Pinnaplasty
has made for our clients

Types of Ear Surgery

Cosmetic Otoplasty

This is perhaps the most well-known type of ear surgery, primarily aimed at improving the aesthetic appearance of the ears. It can be used to pin back ears that protrude significantly, reshape the cartilage for better symmetry, or reduce the size of overly large ears. Cosmetic otoplasty can create a more balanced look.

Reconstructive Ear Surgery

Reconstructive procedures are performed to correct defects and damages caused by congenital conditions (such as microtia, where the ear is underdeveloped), trauma, or disease. This type of surgery may involve building up the ear using grafts taken from the patient’s own tissues or using synthetic materials to form a framework that mimics a natural ear.

Ear Reduction Surgery (Macrotia Surgery)

Some individuals may have naturally large ears that can affect their overall facial balance. Ear reduction surgery is used to reduce the size of the pinna (the visible part of the ear) to a more proportional size. This involves removing some of the cartilaginous framework and sculpting the ear to a more aesthetically pleasing shape.

Earlobe Repair

Earlobe repair is a minor procedure that addresses issues like split or stretched earlobes, often resulting from trauma, the long-term use of heavy earrings, or accidental tearing. The process usually involves removing the damaged tissue and suturing the lobe, restoring its natural appearance and function.

How is the Procedure Performed?

Pinnaplasty is a procedure tailored to address the unique needs of each patient. Anca employs a variety of surgical techniques to achieve the desired outcome, ensuring that the changes in ear appearance are subtle yet significant. The procedure involves the following steps:

  • Consultation and Planning: Prior to the surgery, Anca conducts a thorough consultation to discuss your aesthetic goals and examine the structure of the ears. This stage is important for customising the surgery to your specific needs, as well as explaining the risks and expected outcomes.
  • Anaesthesia: Pinnaplasty can be performed under local anaesthesia with sedation or general anaesthesia, depending on the extent of the surgery and your comfort levels. For children, general anaesthesia is commonly preferred to ensure they remain still and comfortable throughout the procedure.
  • Incision: A small incision is made behind the ear, in the natural crease where the ear meets the head. This approach allows the scars to be well-hidden once they heal.
  • Reshaping the Ear: Depending on the patient’s needs, Anca may sculpt the cartilage and bend it back towards the head using permanent stitches to secure its position. In cases where the ear needs to be reduced in size, excess cartilage may be removed to create a more natural-looking contour.
  • Closing the Incision: The incisions are closed with sutures that will either dissolve or need to be removed after a few weeks, depending on the type used.
  • Recovery: Immediately following the procedure, the ears are bandaged with dressings to support the new shape and protect the ears. You will be closely monitored in the recovery area and can usually go home the same day after the effects of anaesthesia wear off.

Throughout the procedure, Anca’s priority is to create a natural appearance that harmonises with your facial features. This attention to detail ensures that the results are not only effective but also aesthetically pleasing.

Ear surgery, or pinnaplasty, includes a range of procedures designed to correct and enhance the appearance, structure and function of the ear. Each type targets specific issues and can be tailored to meet the unique needs of individual patients.

Each of these procedures requires a nuanced approach to ensure that the aesthetics and functionality of the ears are preserved or enhanced. Anca’s expertise in various ear surgery techniques allows her to offer personalised solutions that address her patients’ specific concerns while maintaining the highest standards of safety and care.


Recovery and Aftercare

The recovery process following pinnaplasty is important for achieving the best possible results. Anca provides comprehensive guidelines to ensure a smooth and effective healing period:

  • Immediate Post-Op Care: After the surgery, you will wear bandages around your head to protect the ears and support the new shape. These are usually kept in place for about a week. It’s important to follow all instructions regarding bandage care to avoid any complications.
  • Pain Management: You may experience some discomfort and swelling for the first few days post-surgery, which can typically be managed with over-the-counter pain relief medications. Anca might also prescribe specific pain relief options if necessary.
  • Activity Restrictions: To facilitate healing, you are advised to avoid any activities that might stress the ears, such as sports or heavy physical exercise, for at least a month. It is also recommended to sleep in an upright position to minimise swelling.
  • Follow-Up Visits: Anca schedules regular follow-up appointments to monitor the healing process and ensure that the ears are healing properly. These visits are a good opportunity to address any concerns or questions that might arise during recovery.
  • Long-Term Care: Once the bandages are removed, you will see the initial results of your surgery, although minor swelling may persist for up to six weeks. During this period, it is important to protect the ears from excessive sun exposure and to avoid putting pressure on them during sleep.
  • Potential Complications: While rare, complications such as infection or an adverse reaction to anaesthesia can occur. Anca is committed to providing immediate and effective care should any complications arise, ensuring a safe and successful recovery for every patient.
  • Healing Timeline: Most patients are able to return to work and other normal activities within a week of the surgery. However, the full benefits of the surgery and the final shape of the ears may not be completely apparent until all swelling has subsided, usually around two months after the procedure.

The detailed aftercare support provided by Anca and her team ensures that patients are comfortable and informed throughout the healing process. This comprehensive care is integral to the success of the pinnaplasty and the satisfaction of each patient with their new appearance.

How Much Is Pinnaplasty Surgery in the UK?

The cost of pinnaplasty in the UK can vary widely depending on several factors, including the complexity of the procedure, the surgeon’s expertise, and the location of the clinic. Anca and her team are committed to providing transparent pricing information to help patients make informed decisions about their ear surgery options.

Factors Influencing Cost:

  1. Surgeon’s Expertise: Highly experienced surgeons like Anca often charge more due to their qualifications and proven track records of success. This can be a worthwhile investment, as more experienced surgeons generally provide higher quality outcomes and lower risks of complications.
  2. Type of Anaesthesia: The cost may differ based on whether the surgery is performed under local anaesthesia with sedation or general anaesthesia. General anaesthesia requires the presence of an anaesthesiologist and additional safety protocols, which may increase the cost.
  3. Surgical Technique Used: Advanced techniques or custom procedures may incur higher costs. For example, extensive reshaping or a need for cartilage grafting to reconstruct the ear will be more expensive than standard otoplasty.
  4. Facility Fees: The location where the surgery is performed also affects the cost. Surgeries carried out in private hospitals or specialised surgical centres may cost more compared to those performed in standard clinics.

Average Costs:

The average cost of pinnaplasty in the UK typically ranges from £2,500 to £4,500 per ear. It is important to note that this price range includes all associated fees such as hospital charges, anaesthesia fees, and aftercare services.

Patients considering pinnaplasty should also think about the potential financial impact of any time off work needed for recovery and consultations. Anca ensures that all patients receive a detailed breakdown of costs during their initial consultation, allowing for a clear understanding of all expenses involved. This approach ensures that there are no hidden costs and that each patient can plan their surgery with financial clarity and confidence.

Cost of Surgery Guide

Cost of Surgery Guide



Further Reading



Frequently asked questions

You are a good candidate if you are unhappy with the appearance of your ears. A thorough consultation with Anca is required to assess your eligibility for the surgery.

Pinnaplasty is a safe procedure when performed by an experienced plastic surgeon.

A certain level of pain and discomfort can be experienced after pinnaplasty. The procedure is performed with the use of anaesthetic and analgesic medication is prescribed for the recovery period.

Results are usually visible 3 months after the operation when the swelling has disappeared and the ears have settled into their new position.

About Anca Breahna – Consultant Plastic Surgeon

top UK cosmetic surgeon anca breahnaMs Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of breast, body and face surgery and minor skin procedures.

As one of the very few female Plastic Surgeons in her region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care.

Anca Breahna’s surgical training has been largely undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK to further extend her qualifications and training.

Anca’s NHS practice is now focused on Breast Reconstructive Surgery, Skin Cancer Surgery, Hand Surgery and soft tissue reconstruction. Over the last 15 years, through her pursuit of further training and education, Anca has developed a special interest and expert practical experience in a range of Aesthetic Breast and Body Surgery.

It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca will treat you in a straightforward manner, with respect, consideration and empathy to ensure you are comfortable with your choice.



Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Making The Most Of Your Consultation

  • A Medical Referral from your Doctor before your consultation is not compulsory however  it is recommended.
  • Please arrive slightly early for your in-person consultation with Anca – Car parking is available on-site at all hospitals.
  • You are welcome to bring a friend or relative to help consider the information and discuss your options.
  • Please be aware you may need to undress for a physical exam so wear simple clothes.
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided.

Want more information before scheduling your consultation?

Please call to find out more about availability, pricing and medical payment plans or to request more information about the procedure, contact us.

How to Book your Consultation with Anca Breahna – Plastic Surgeon

You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire on 0800 080 6026 or Joedy on 03332 244111 to arrange your consultation or email us for more information.

We look forward to hearing from you soon.

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    Cheshire Cosmetic Surgery
    Chester Wellness Centre
    Wrexham Road
    Chester CH4 9DE

    Nuffield Health
    Wrexham Road
    Chester CH4 7QP

    Practice Manager: Claire Bate – Phone 0800 080 6026

    Patient Coordinator: Joedy Williams – Phone 03332 244111

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