Otoplasty (ear surgery)
Recovery time: 2-3 weeks
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Surgical correction of the shape of the ear and its angle to the head. Suitable for children and adults, it does not affect hearing; the incision sits behind the ear, so the scar stays hidden.
Who is it for?
Suitable
- People whose ears stand noticeably away from the head (commonly known as "protruding ears") and who are bothered by this appearance
- Patients whose antihelical fold (the folding line of the auricle) is not fully formed or whose conchal bowl (concha) is excessively deep
- School-age children whose ear development is largely complete — especially if they experience psychological distress because of teasing among peers
- Adults who were not operated on in childhood and want ear correction in adulthood — in practice there is no upper age limit for otoplasty
- People with noticeable asymmetry or a mild shape difference between the two ears (severe traumatic deformities require a separate reconstructive assessment)
- Patients with realistic expectations of the outcome who are ready to follow the bandage/headband regimen during recovery — with parental supervision in children
May not be suitable
- Very young children whose auricle development is not yet complete (usually under age 5) — since the ear is still growing, waiting is recommended
- Children who do not want the operation themselves, are brought only at their parents' insistence, and are not psychologically ready — motivation coming from the child themselves is important for satisfaction with the result
- People with an active ear infection (otitis externa, middle ear inflammation) or an inflammatory skin problem around the ear — treatment is required first
- Patients with a bleeding disorder or who cannot stop blood-thinning medications before surgery
- People with a strong tendency to form keloid (raised) scars — in this case the decision is made after an individual risk-benefit assessment
- Candidates with suspected body dysmorphic disorder or unrealistic expectations from a very small change
Suitability is confirmed only at a doctor's examination. Results are individual.
The process step by step
- 1
Initial consultation and assessment of the ear structure(30-40 minutes)
The plastic surgeon evaluates the angle of the ear to the head, the firmness of the cartilage, and the condition of the antihelical fold and the depth of the concha, comparing both ears. In pediatric patients, the child's own wish and psychological readiness are openly discussed together with the parents.
- 2
Preparation and tests(1 day)
Blood tests and a general health assessment for anesthesia are carried out. For children, a pediatrician's opinion is additionally obtained, and preparation for general anesthesia (fasting regimen, etc.) is explained.
- 3
Surgical planning(1 session)
The measurements and angles of both ears are recorded, and the symmetry target is defined. Technical steps such as reshaping the cartilage with sutures and, if needed, reducing the concha are clarified with the patient (with the parents, in the case of children).
- 4
Anesthesia(15-20 minutes)
In adults, local anesthesia with light sedation is usually sufficient. In children, general anesthesia is used to ensure stillness and comfort throughout the operation.
- 5
Surgery(1-2 hours)
An incision is made along the natural fold behind the ear, the cartilage is reshaped with permanent sutures, and the ear is fixed closer to the head at a natural angle. Both ears are usually treated in the same session, and a protective head bandage is applied at the end.
- 6
Initial recovery and observation(2-4 hours)
After a short period of observation, the patient is discharged home the same day in most cases. The bandage regimen, pain medication, and the sleeping position for the first days (avoiding pressure on the ears) are explained in detail.
Recovery process
The head remains bandaged, with tightness, aching, and mild swelling felt in the ears. Pain is usually mild to moderate and easily managed with the prescribed pain medication.
Restriction: The bandage must not be removed or get wet. Not sleeping on the side (on the ear) and keeping the head elevated are recommended.
The bandage is usually removed during this period and replaced with an elastic headband (sports-band style). At first the ears may look somewhat over-tucked and swollen — this is expected, and they gradually return to a natural shape.
Restriction: Hair washing is possible with caution and the doctor's permission. Pulling or rubbing the ears and pressure from glasses arms behind the ears are not recommended.
Most of the swelling subsides; most children return to school and adults to their work life. The elastic headband is now worn only at night (usually continuing for 3-6 weeks in total).
Restriction: Contact sports, swimming pools, and activities with a risk of impact to the ears are still not recommended.
The swelling fully resolves, the temporary numbness in the ear skin normalizes, and the final angle stabilizes. The incision line behind the ear fades and blends into the natural fold.
Restriction: Return to contact sports (wrestling, boxing, etc.) is usually possible after 2-3 months, with the doctor's permission.
Risks and transparency
Every surgical procedure carries risks. Transparency is the basis of trust for us.
- Swelling, bruising, and temporary aching — observed in nearly every patient, gradually resolves
- Temporary change in sensation in the ear skin (numbness, sensitivity to cold) — usually lasts a few weeks to months
- Hematoma (blood collecting under the skin) — rare, but if it presents with pressure and pain it may require urgent intervention
- Risk of infection, and in very rare cases inflammation of the cartilage (chondritis) — early detection and treatment are important
- Possibility of not achieving complete symmetry between the two ears — it is worth noting that natural, unoperated ears are also never fully identical
- Partial return of the correction over time (relapse) or loosening of the sutures — rare, may require a repeat intervention
- Risk of a raised (hypertrophic or keloid) scar along the incision line behind the ear — the likelihood is higher in skin types prone to it
- Possibility of the ear looking pinned too close to the head or of a sharp contour as a result of overcorrection
- Standard risks associated with general anesthesia in children — assessed in advance by the anesthesiologist
What does the price depend on?
- Whether one or both ears are included in the surgery
- Type of anesthesia — general anesthesia in children, usually local + sedation in adults
- Degree of the deformity and the chosen technique (reshaping the cartilage with sutures, concha reduction, etc.)
- Whether the surgery is primary or a repeat (revision) procedure
- Clinic equipment and observation conditions
- Surgeon's experience
Frequently asked questions
From what age can otoplasty be performed? What is the most suitable time for ear surgery in children?
Since most of the development of the auricle is complete by age 5-6, the operation is usually considered possible from this age onward. Many families choose the preschool or early primary school period to prevent teasing during the school years. There is no practical upper age limit — otoplasty is also performed successfully in adulthood.
Is protruding ear surgery painful?
Because the operation is performed under anesthesia, no pain is felt during the procedure. Over the following few days there may be tightness and aching in the ears, which is easily managed with the prescribed pain medication. Children usually get through this period more easily than adults.
Does ear correction surgery leave a scar?
Since the incision is made along the natural fold behind the ear, the scar is not visible from the front and does not stand out in daily life. The line, which appears reddish in the first months, fades over time.
When can I return to work or school after the operation?
After the bandage is removed — usually from day 5-7 — most adults can return to work, and children can return to school after about a week. For physical exertion and activities with contact risk, waiting a few extra weeks is recommended.
How many years does the result of otoplasty last — is it permanent?
Since the cartilage is reshaped with permanent sutures, the result is considered lasting. In rare cases, partial return of the correction (relapse) is possible — following the headband regimen during the first months reduces this risk.
What is the difference between ear surgery in children and in adults?
The technique is similar in both age groups; the main differences lie in the anesthesia and the characteristics of the cartilage. In children, the operation is performed under general anesthesia and the softer cartilage is easier to shape; in adults, local anesthesia with sedation is usually sufficient, and since the cartilage is firmer, the suture technique is planned accordingly. In children, psychological readiness and the child's own wish are also always taken into account.
Does otoplasty affect hearing?
No. The operation is performed only on the outer ear (auricle); the ear canal and the hearing structures are not touched. For this reason, ear correction surgery does not affect hearing function.
How long must the headband or bandage be worn after the operation?
In the first days the head remains fully bandaged; the bandage is usually removed on day 5-7. Then an elastic headband is provided to protect the ears — worn all day at first, and later, usually for 3-6 weeks, only at night. This regimen is important for the result to remain stable.
How much does otoplasty cost, and what does the price depend on?
The price varies depending on whether one or both ears are operated on, the type of anesthesia (general anesthesia in children), the degree of the deformity, and the clinic. An exact price can only be given after an in-person consultation and examination — you can book a free consultation for this.
If one ear differs from the other, can just one ear be operated on?
Yes, correction of a single ear is possible. That said, to bring the angles of the two ears as close as possible, a minor intervention on the other ear may sometimes also be recommended — this is assessed individually during the consultation.
Can protruding ears be corrected without surgery — with a bandage, tape, or magnets?
Non-surgical correction is possible only in the newborn period, while the cartilage is still very soft, using special ear molds. Once the cartilage hardens (from infancy onward), tapes and bandages do not produce a lasting result — at that stage, the reliable method is surgical otoplasty.
Can the ears stick out again after the operation?
Relapse, meaning a partial return of the angle, is possible in rare cases and is usually related to strain placed on the sutures during the first months. Following the headband regimen, not pulling on the ears, and protecting them from contact impacts significantly reduces this likelihood. If a noticeable return occurs, a repeat correction can be assessed.
Which season is more suitable for ear surgery in children?
Medically, there is no specific season requirement; the operation is performed year-round. For practical reasons, many families choose the summer holidays — the child does not miss school and completes the headband regimen in comfortable conditions.


