The otoplasty procedure varies with every patient and their degree of ear deformity. The operation is undertaken in an outpatient setting under general or local anesthesia with sedation. During Dr. Hochstein’s operation in Miami, an incision is made behind the ear to hide any obvious marks of surgical intervention. Multiple, strategically placed, sutures are placed to shape the cartilage into normal folds, which were missing pre-operatively The cartilage is then reshaped using techniques of scoring, suturing, limited removal or combinations of the three.
The reshaped framework is then repositioned to achieve the best balance with the opposite side and to reduce excessive projection. The skin is re-draped, any excess skin is removed, and the incision behind the ear is closed. A gentle pressure dressing is placed to prevent excessive fluid accumulation beneath the skin.
To reduce the swelling or collection of fluid beneath the skin, you will have a dressing on your head to put gentle pressure on your ears and maintain their new position. After about t two or three days, the dressing will be removed. All of your incisions will be carefully closed with stitches. Some of the suture will dissolve while other sutures will require removal in 7 to 10 days. You’ll be able to wash your hair as soon as your head dressing is removed on the second or third day after surgery.
Most patients experience very little pain following their procedure. There will be slight discomfort or soreness- mostly when you bump or move your ears. This will be for about a week or two. You’ll notice some swelling in the ears for two to three weeks following surgery. Most bruising will resolve in the first week or two. During this time, you can cover your ears with your hair.