Prominent ears are a relatively common concern that can cause self-consciousness or teasing. This condition is a congenital anomaly, usually resulting from incomplete or inadequate folding of the ear shape in utero. Often the ears are asymmetrical and occasionally the condition can affect only a single ear.
Otoplasty is the surgical procedure to correct prominent ears, and it can be very beneficial for many patients.
Dr O’Mahony understands how this can affect confidence and is here to help you explore your options.
During normal development, the cartilage in the ear folds to create the typical ear shape. Sometimes this process doesn’t complete fully, particularly in an area called the ‘antehelical fold’ – the ridge that runs along the length of a normal ear. When this fold is missing or incomplete, the ear sits further out from the head, creating the appearance of prominent ears. Other factors can also contribute, including a deep ‘conchal bowl’ (the cup-like area of the ear), naturally larger ears, or asymmetry between the ears.
Prominent ears can affect one or both ears and may run in families.
This procedure may be suitable for you or your child if prominent ears are causing self-consciousness, teasing, or emotional distress.
Otoplasty is performed under general anaesthetic in a hospital setting, usually as day surgery.
During the procedure, Dr O’Mahony creates an incision along the back of the ear where it will be well hidden, and exposes the cartilage structure of the ear. She then reshapes it to create the missing fold and sutures are used to help maintain the new shape. Further sutures will control the angle of the ear from the head and dissolvable sutures used to close the wounds. The overall appearance should be of a natural and well balanced ear shape.
At the end of the procedure a cotton wool mould held in place by a bandage is used to maintain the skin over the cartilage and protect the ears. The bulky head bandage can feel a bit irritating and some people find it difficult to sleep initially. You may also notice that you can’t hear as clearly through the bandage. These effects are temporary and improve as healing progresses.
Pain is usually well controlled with oral medication.
At what age can prominent ears be corrected?
This is an important question, especially for children.
When planning surgery in children, it’s important not to interfere with growth, so timing matters. Prominent ears should not be corrected surgically before 4.5-5 years of age, but can be successfully treated from this age onwards. By this stage, the ear has reached approximately 80% of adult size, so the surgery has minimal impact on future growth.
However, otoplasty doesn’t have to be done in childhood – it can be successfully performed well into adulthood. The ear cartilage does stiffen with age, so it is ideal to time the surgery in children, adolescents, or younger adults, but the procedure can still be very effective for older patients.
Otoplasty is considered a reconstructive procedure given the developmental cause of the abnormal ear shape, but unfortunately Medicare and Health Funds only rebate the procedure in patients under 18 years of age. The specific coverage and out-of-pocket costs depend on your individual health fund policy. After aged 18 the procedure is the same, however there are no rebates for the procedure.
Dr O’Mahony’s office can help you understand what coverage might be available and provide you with a comprehensive quote for surgery after your first consultation
Dr O’Mahony understands that considering surgery can feel a little daunting.
She maintains a welcoming, caring atmosphere in her practice and will take the time to ensure you feel completely informed and comfortable about all aspects of the procedure.
She believes it’s important for you to have sufficient time to make an informed decision, and she will consult with you as many times as you need before proceeding with surgery.
