Prominent ears are a source of teasing for children and embarrassment for adults. Alas, no insurance company pays for this procedure. The operation takes about an hour and a quarter. It can be done at my clinic under local anaesthetic (LA) or at a private hospital under general anaesthetic (GA). Needless to say, the clinic version is less expensive but requires that you cope with injections of local aesthetic and being awake during the procedure (not appropriate for children).
The operation is done through an incision in the groove behind the ears, so the scar is out of sight from the beginning. The ear cartilage is exposed and modified, and the skin stitched.
Post operative care
A head bandage is required for 5 to 7 days. Long acting local anaesthetic is used even if the operation is done under general anaesthetic so the ears are pain free for the first 4 to 6 hours. The 24 hours after that are quite painful requiring the use of plenty of oral painkillers. The pain usually settles rapidly after that.
When the bandage is first taken off the ears are a bit swollen and bruised but by the end of the second week, they are fully presentable. A band needs to be worn around the ears at night for a further 2 weeks to prevent them from being inadvertently flipped forward while asleep.
For three months or so the ears will feel stiffer than normal, be tender if bumped and have some numb patches of skin.
Hypertrophic or keloid scarring is uncommon. Should it happen it can usually be controlled with steroid injections into the scar.
Asymmetry of ear projection. I have not needed to resort to surgical revision more than three or four times in the last 20 years.
See risks common to all operations.
out of town?
Ideally a consultation should be face to face but is certainly possible to arrange a telephone consultation. If you can email the photos first so much the better. If it is clear what procedure is required then the in-person consultation can be the day before or the morning of the surgery.