
Otoplasty, commonly known as ear surgery, is a cosmetic procedure designed to reshape, reposition, or reduce the size of the ears. Whether for medical reasons or cosmetic enhancement, this surgery can significantly impact one’s confidence and appearance. For individuals unhappy with the shape or size of their ears or those who have protruding ears, otoplasty offers a lasting solution.
What Is Otoplasty?
Otoplasty is a surgical procedure aimed at correcting deformities or aesthetic issues with the ears. While many people seek otoplasty to address prominent or protruding ears, the procedure can also correct congenital deformities, injuries, or the effects of previous surgeries. By altering the shape, position, or proportion of the ears, ear surgery can restore balance and symmetry to a person’s facial features.
There are several types of otoplasty procedures, each tailored to the individual’s unique needs. These include ear pinning (to reduce protrusion), reshaping the ear cartilage, and correcting asymmetries or deformities.

Who Is a Candidate for Otoplasty?
Good candidates for otoplasty can include both children and adults. While children as young as five years old can undergo the procedure, many adults also seek this surgery later in life.
Candidates for ear surgery typically meet the following criteria:
- Are in good health
- Don’t have serious medical conditions that hinder recovery
- Have protruding ears that stick out more than normal
- Want to correct asymmetrical ears
- Have ear deformities due to congenital defects or injury
- Are unhappy with the appearance of their ears
- Have realistic surgical expectations
What Are the Benefits of Otoplasty?
Some key ear surgery benefits include:
- Adding proportional balance and symmetry to the ears
- Customizable options to address your needs
- Boosts confidence
- Minimal downtime is needed for recovery
- Long-lasting results that are often permanent

What Are My Otoplasty Options?
Otoplasty encompasses several techniques, depending on the patient’s needs and aesthetic goals. Dr. Bartow will choose the best approach based on the condition of your ears. Here are some common options:
- Ear Pinning: Ear pinning is one of the most common forms of otoplasty, designed to reduce protruding ears. By reshaping the cartilage and bringing the ears closer to the head, ear pinning provides a more natural and balanced appearance.
- Ear Reduction: Ear reduction surgery (macrotia surgery) is performed to reduce the size of large ears. This is ideal for patients who feel that their ears are too big in proportion to their head and face.
- Correction of Ear Asymmetry: Some patients experience asymmetry in their ears, where one ear is larger, higher, or shaped differently than the other. Otoplasty can correct these discrepancies to create a balanced and symmetrical look.
- Lobuloplasty: This procedure addresses earlobe deformities, such as torn or stretched lobes, often caused by heavy earrings or trauma. Lobuloplasty is a simple yet effective procedure that restores the natural shape of the earlobe.

How Is Otoplasty Performed?
Initial Consultation
Your otoplasty journey begins with an initial consultation. During this consultation Dr. Bartow will evaluate your ear structure, discuss your concerns, and outline the best options for achieving your desired results. You should come prepared with questions, information regarding your medical history, and photos of your ears to help facilitate a clear discussion. Dr. Bartow will also provide an overview of the procedure, the risks involved, and what to expect during the recovery period.
Preoperative Instructions
To ensure a smooth surgery and recovery, it is important to follow Dr. Bartow’s preoperative instructions. One important step is to avoid blood-thinning medications, such as aspirin and certain supplements, at least two weeks before surgery to reduce the risk of excessive bleeding. Additionally, if you smoke, it’s recommended to quit at least a month prior, as smoking can interfere with the body’s healing process. Since ear surgery is typically performed under anesthesia, you will need to arrange for someone to drive you home after the procedure. If general anesthesia is used, you may also be instructed to fast, avoiding any food or drink after midnight on the day of your surgery.
During the Procedure
On the day of the surgery, you’ll be prepped for the procedure in a sterile environment. After anesthesia is administered, Dr. Bartow will begin by making small incisions either behind or inside the ears. The cartilage is then reshaped or repositioned to achieve the desired aesthetic. Depending on your procedure, the surgery can take one to three hours. Once the adjustments have been completed, the incisions are closed, and the ears are bandaged to support healing. You will be monitored briefly before being discharged to recover at home.
What Can I Expect During Otoplasty Recovery?
The recovery process after otoplasty is generally smooth, but it’s important to follow Dr. Bartow’s post-operative instructions to ensure optimal healing and results. Recovery will be different for every patient, but the following can generally be expected:
First Few Days
In the first few days after otoplasty, it is normal to experience some swelling, bruising, and mild discomfort. Dr. Bartow may prescribe pain medication to help manage these symptoms. To support the healing process and protect the new shape of your ears, you might need to wear a protective headband. During this time, it’s important to avoid strenuous activities, heavy lifting, and contact sports. Additionally, keeping your head elevated while resting can help reduce swelling.
First Few Weeks
Swelling and bruising should gradually diminish during the first few weeks of recovery. If non-dissolvable stitches were used, they will typically be removed around one week after surgery. Many patients are able to return to work or school within one to two weeks, though it’s crucial to avoid any physical activities that could put pressure on the ears during this period to ensure proper healing.
Long-term Recovery
You’ll begin to see your new ear shape once the swelling subsides, typically within a few weeks. However, the final results may not be fully visible for several months. Continue to avoid high-impact activities or any direct trauma to the ears, especially during sports or physical activities, for at least two months.
When Will I See My Otoplasty Results?
You’ll notice an immediate improvement in the shape and position of your ears after surgery, but swelling may obscure the final results for a few weeks. As the swelling continues to subside, the ears will settle into their new position. By six months, most patients will see their final results. Otoplasty provides long-lasting and often permanent changes to the ears, and revisions are rarely needed.
How Much Does Otoplasty Cost?
On average, otoplasty costs between $3,000 and $5,000. Cost can vary depending on several factors, including the complexity of the procedure, the surgeon’s expertise, and the geographic location of the practice. In 2023, the American Society of Plastic Surgeons reported an average surgeon/physician’s fee for otoplasty as $4,625. This price does not typically include additional necessary costs, such as surgical facility fees, anesthesia fees, pain medications for recovery, post-surgery garments, and medical tests. Be sure to consult with Dr. Bartow regarding the breakdown of costs during your initial consultation.
Otoplasty FAQ
What other procedures can be combined with otoplasty?
Otoplasty can be combined with other facial procedures, such as rhinoplasty (nose surgery), chin augmentation, or facelifts, for adults who are looking to achieve a more comprehensive facial rejuvenation.
Is otoplasty painful?
Most patients report mild discomfort after otoplasty, which is usually managed with prescribed pain medications. The procedure itself is painless, as it is performed under anesthesia.
Does otoplasty leave scars?
Otoplasty incisions are usually made behind the ear or within the ear’s natural creases, making scars well-concealed and difficult to notice.
What are the risks associated with otoplasty?
As with any surgery, otoplasty carries some risks, including infection, bleeding, asymmetry, or scarring.
How long do otoplasty results last?
Otoplasty results are typically permanent. Once the ears have healed, they should maintain their new shape and position as long as aftercare instructions are followed and no physical trauma occurs to the region.
Can children undergo otoplasty?
Children can undergo otoplasty, typically as young as five years old. At this age, the ears have reached most of their adult size, making it an ideal time for corrective surgery if needed. Otoplasty in children is often performed to address prominent or misshapen ears, which can help prevent teasing or self-consciousness as they grow older. The procedure is safe and effective in young patients, and many parents choose it to improve their child’s appearance and confidence before entering school or social environments.
How soon can I return to normal activities after otoplasty?
Most patients can return to work or school within one to two weeks after otoplasty. However, it’s important to avoid strenuous activities and sports for at least six weeks.
Will I need to wear a headband after otoplasty?
Many surgeons recommend wearing a headband over the ears for the first few weeks after surgery to support the healing process and maintain the new ear position.
Can otoplasty correct ear deformities from birth?
Otoplasty can correct congenital ear deformities such as microtia or lop ear, restoring a more natural appearance to the ears.
