otoplasty

OTOPLASTY (EAR PINNING)

Prominent ears are often referred to as ‘bat ears’. They may affect self-image deeply and children often experience peer teasing about their ears from an early age. This can leave a life-long impact on the patient’s psyche. During his fellowship at Great Ormond Street Hospital, one of Dr Farhadieh’s areas of specialization was ear surgery and reconstruction.

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During your initial consultation, a thorough medical history, including smoking habits, previous surgery, regular medications (including blood thinners), previous history of deep venous thrombosis, diabetes, stability of weight over time and all other relevant details will be noted. Dr Farhadieh will discuss the areas of concern with you. Prominent ears that stick out from the head, asymmetries in appearance of the ears, absence of ear folds and/or earlobe prominence are common complaints. Dr Farhadieh will go through the surgical options with you and preoperative photographs will be taken. Smokers will be requested to cease smoking for 3–6 weeks prior to surgery and to abstain for at least 3–6 weeks after surgery.

On the day of surgery you will be seen by our anaesthetist who will discuss the anaesthetic procedure with you. Dr Farhadieh will meet you to answer any final questions. You will be brought to the operating theatre, where the surgery is performed under general anaesthetic.

 

The surgery will take about 1–2 hours. Local anaesthetic infiltration into the surgical field will address pain control over the first few hours. Afterwards, simple oral pain relief suffices. Incisions are hidden behind your ear and the cartilage is moulded into the aesthetically correct position and the earlobe corrected if required. After the surgery you will have a head bandage for 5–7 days.

 

Your postoperative follow-up is organized for 5–7 days postoperatively and your sutures will be removed. You can resume work at this time. Physical activities, including those that may cause trauma to the ear, should be avoided for at least 8 weeks postoperatively.

 

Although this is considered relatively routine and safe surgery there are risks associated with any surgical procedure. Dr Farhadieh will discuss these with you in detail during your consultation.

 

Your relationship with your surgeon is the most important element of your care. Dr Farhadieh and his staff are dedicated to being there for every step of your journey.

‘Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.’

Frequently Asked Questions

Will I need general anaesthesia?

Yes, you will require general anaesthetic for the surgery. Local anaesthetic infiltrate at the time of surgery will keep the area well anaesthetized during the immediate postoperative period.

Will the scars be visible?

The scars are hidden from view in the crease behind the ear.

How long will the recovery take?

Once the wounds have healed in 7–10 days, normal activities can recommence. However the ears should be protected against any direct trauma for at least 12 weeks.

Is asymmetry following surgery common?

All humans have some intrinsic asymmetry to their face and body, but in adequately trained hands noticeable persistent postoperative asymmetry is rare. The position of the upper poles, the middle part and the lobule of the ear against the head ultimately determine their relative appearance. Establishment of relative harmony and symmetry determines the final outcome.

What will my follow up include?

Dr Farhadieh believes that the relationship between doctor and patient is sacred and privileged. Our practice is based on compassion, honesty, transparency and, above all, patient welfare and we pride ourselves on making sure that our patients feel supported at all times. We will be available during all stages of your journey and will schedule short-, medium- and long-term follow-up appointments as part of our overall practice.

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