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Otoplasty is the procedure through which we restore harmony to the auricular pavilion. Through this surgery, we reposition this structure in the appropriate place, reshape the form of the ear and its contour. It is ideal for patients who present alterations in the development of this body area, such as screen ears, prominent ears, cupped ears, among others. This type of procedures can be performed on both adults and children.

When is it indicated?

This procedure is indicated for patients with:

  • Prominent ears or screen ears.
  • Macrotia.
  • Cupped ears.
  • Patients dissatisfied with the appearance of their ears.

How is it performed?

When the purpose of the procedure is to correct prominent or screen ears:

  • Under local anesthesia, an incision is made in the posterior region of the ear. The cartilage is identified and it is determined if the alteration is associated with the excessive growth of some of its structures, generally an increase in the conchal bowl. The excess cartilage and skin are then resected, and support stitches are placed to maintain the new position of the ear. Subsequently, it is compared with the opposite ear and the definitive closure is performed with sutures, which will be removed 10 days later.

When the purpose of the procedure is to correct cupped ears:

  • During the procedure, the upper portion of the helix is detached and, using specific flaps, it is repositioned in the correct anatomical place, seeking symmetry with the opposite auricular pavilion.

When the purpose is to reduce the earlobe (lobuloplasty):

  • A specialized surgical design is performed, followed by a wedge incision in the described area. Excess tissue is resected, bleeding is controlled, tissues are advanced, and closure is done in layers, verifying that the bleeding is scant and controlled.

PRE-SURGERY INSTRUCTIONS

Two weeks before surgery:

  • Do not take anti-inflammatories such as aspirin, ibuprofen, diclofenac, etc., as they affect the blood’s ability to clot and can increase bleeding during your surgery. If you experience any type of pain, you can only take acetaminophen.
  • Please notify us if you are taking any type of herbal medication, vitamins, or natural supplements, as some can cause problems during your surgery. Ideally, stop them at least a week before the procedure (Gingko-biloba, Omega3, Multivitamins).
  • If you have a common cold, injury, or any other condition during this period, please notify us.
  • Smoking can affect your healing process, please stop smoking at least 15 days before the procedure.

POST-SURGERY INSTRUCTIONS

  1. Use a headband-type bandage during the first postoperative week, day and night. The main function of this bandage is to reduce the appearance of bruises and the inflammatory process.
  2. Do not remove, damage, or wet bandages until our authorized work team indicates.
  3. Keep your head elevated during the first two days – semi-sitting position.
  4. The local anesthetic process will take about 3 hours to wear off.
  5. Avoid sleeping on your side to not put pressure on the ears. Also, try not to rub or apply excessive force on the incisions. Consider wearing buttoned shirts or shirts with wide collars.
  6. If you experience severe or persistent pain, contact us immediately.
  7. Rest at home during the first 3 to 5 days.
  8. When moving, getting up, or changing positions, do so carefully during the first seven days.
  9. You can wash your hair without wetting the bandages, in a horizontal position (like in a beauty salon).
  10. Be careful not to injure the wounds around the ears with the brush. Do not use a hairdryer for 5 days and postpone any permanent curling or dyeing for at least a month after surgery.
  11. The lobes of your ears may feel numb for a few weeks, this will disappear as the tissues heal.
  12. Avoid sun exposure for at least a week after the intervention.
  13. Do not wear heavy earrings for at least six weeks.
  14. Take prescribed medications (mandatory antibiotic intake!).
  15. Do not exercise or lift heavy objects for 15 days. You may engage in light aerobic exercise after three weeks and intense exercise only after six weeks.
  16. You may return to work after 2-3 days.
  17. Remember to attend the follow-up appointment in the office, by appointment.
  18. If you have any questions, communicate with the staff at your disposal

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