Prominent Ear Correction

Prominent ear correction, also known as otoplasty or pinnaplasty, is a surgical procedure which reshapes the cartilage framework of the ear so that it sits in a more natural position against the side of the head. The procedure addresses under-developed folds within the ear cartilage and, where needed, an over-sized bowl (concha) that pushes the ear outwards.

The procedure is suitable for children from around the age of five, once the ears have reached near-adult size, as well as adolescents and adults of any age. Many patients seek correction after years of feeling self-conscious about the shape or position of their ears, particularly when wearing their hair short or tied back. Mr Singh will take the time to understand your concerns and tailor the surgical plan to deliver a natural, symmetrical result.

• More natural ear position: The ears sit closer to the head, producing a balanced and harmonious facial profile.
• Improved symmetry: Asymmetry between the two ears can be addressed at the same time for a more even appearance.
• Boosted confidence: Many patients, particularly children and teenagers, experience significant improvements in self-esteem and social confidence.
• Freedom with hairstyles: Greater comfort wearing short hair, hair tied back or styles that previously drew attention to the ears.
• Long-lasting results: The cartilage is permanently reshaped, meaning the outcome is stable over time.
• Hidden scars: Incisions are placed in the natural crease behind the ear, leaving scars that are virtually undetectable once healed.

The underlying reason for ear prominence varies between patients. Mr Singh will assess the anatomy of your ears in detail and select the appropriate combination of techniques to achieve a natural, symmetrical result. The procedure is most commonly performed under local anaesthetic with sedation in adults, or under general anaesthetic in children.

• Incision placement: A discreet incision is made in the natural skin crease behind the ear, giving direct access to the cartilage while keeping scars well hidden.
• Cartilage scoring and shaping: The cartilage of the antihelical fold is gently scored and reshaped to recreate the missing fold and allow the upper ear to sit closer to the head.
• Concha setback: Where the bowl of the ear is oversized, a small segment of cartilage may be removed or repositioned to reduce its projection.
• Cartilage-sparing sutures: Permanent sutures (Mustarde and Furnas techniques) are placed within the cartilage to hold the new shape in place without weakening it.
• Skin closure: The skin is closed with dissolvable sutures and a supportive head bandage is applied to protect the reshaped ears during the early stages of healing.

Headband & Dressings

• Initial head bandage: A soft supportive bandage is worn around the head for the first week to protect the ears and reduce swelling.
• Sports-style headband: Once the bandage is removed, a soft headband is worn day and night for a further 2–3 weeks, then at night only for up to 6 weeks to protect the ears while healing.

Wound Care

• Cleaning: Gentle cleaning with mild soap and water is encouraged once the dressings are removed and showering is usually allowed the day after surgery.
• Sleeping position: Sleeping on the back with the head slightly elevated for the first 1–2 weeks helps to reduce swelling and protect the ears.

Scar Advice

• Scar care products: Silicone gels can be used once the wounds are fully healed to optimise the final scar.
• Sun protection: Protect the scars from direct sun exposure for the first 6–8 weeks to prevent pigmentation changes.
• Massage: Gentle scar massage once fully healed helps the scars soften and flatten.

• Initial post-op visit: Typically scheduled around a week following surgery to remove the head bandage and inspect the wounds. Sutures are usually dissolving.
• Subsequent visits: Usually seen again at 6 weeks for an early check and again at around 3 months to review the final position and shape.
• Long-term care: Mr Singh remains available for any concerns or further follow-up as required.