# Otoplasty > **Ear pinning surgery** to correct protruding ears - Canonical page: https://doctormaresky.co.za/procedure/otoplasty - Category: [Facial Surgery](https://doctormaresky.co.za/procedure-category/facial-surgery) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ## Overview **Otoplasty**, also known as ear pinning, is a surgical procedure designed to reposition protruding ears closer to the head. It may be considered for children and adults, typically from age **5** and up, after individualized assessment of ear development, anatomy, timing, and family goals. ## The procedure The procedure involves making a small incision behind the ear to access the cartilage. The surgeon then reshapes or removes excess cartilage and uses sutures to hold the ear in its new position closer to the head. Different techniques may be used including cartilage scoring, suture techniques, or cartilage excision depending on the specific ear anatomy. The procedure typically takes **1-2 hours** under local or general anesthesia. ## Candidate information - **Description:** The ideal candidate for otoplasty is someone with protruding or misshapen ears who desires a more balanced facial appearance. **Ideal candidates** include: ### Criteria - Children aged **5 and older** (when ear development is nearly complete) - Adults of any age with prominent or protruding ears - Individuals in good physical and mental health - Those with realistic expectations about surgical outcomes - People who feel self-conscious about their ear appearance - Patients with ears that stick out more than **2cm** from the head - Those with asymmetrical ears or ear deformities ## Preparation - **Timeline:** **2-4 weeks** before surgery ### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** ### Medications #### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior #### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation ### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) ### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ## Recovery and aftercare Recovery from otoplasty typically takes **1-2 weeks**. Patients wear a protective headband for several weeks to protect the ears during healing. Most people can return to work or school within a week, though contact sports should be avoided for **6-8 weeks**. Initial swelling and bruising subside within the first week, and final results are visible within **3-6 months**. ## Expected results Otoplasty results are typically long lasting once healing is complete. The procedure repositions or reshapes ear cartilage, and the final appearance depends on anatomy, surgical technique, and healing. ## Risks and considerations ### Normal Side Effects - **Description:** Normal side effects following otoplasty include: #### Effects - Swelling and bruising around the ears - Mild to moderate pain or discomfort - Temporary numbness - Itching as the incisions heal ### Other Side Effects - **Description:** As with any surgical procedure, otoplasty carries potential risks including: #### Effects - Infection - Bleeding or hematoma - Asymmetry between ears - Scarring (usually hidden behind the ear) - Changes in skin sensation - Suture complications - Need for revision surgery - Adverse reaction to anesthesia - Overcorrection or undercorrection - **Disclaimer:** These risks will be thoroughly discussed during your consultation. If you experience any concerning symptoms post-surgery, contact your surgeon immediately. ## Frequently asked questions ### What is the ideal age for otoplasty? Otoplasty can be performed on children as young as **5 years** old, once the ears have reached nearly full size (about **90%** of adult size). There is no upper age limit for adults. Many parents choose to have the procedure done before their child starts school to prevent potential teasing. ### How long does the otoplasty procedure take? The otoplasty procedure typically takes **1-2 hours**, depending on the complexity of the correction needed and whether one or both ears are being treated. ### Will there be visible scars after otoplasty? Incisions are made behind the ears in the natural crease, so any resulting scars are well-hidden and typically fade significantly over time. Most scars become virtually invisible within a year. ### Is otoplasty painful? Most patients experience mild to moderate discomfort after surgery, which can be managed effectively with prescribed pain medication. Children typically tolerate the procedure very well. ### What type of anesthesia is used for otoplasty? For children, general anesthesia is typically used. Adults may have the option of local anesthesia with sedation or general anesthesia, depending on their preference and the surgeon's recommendation. ### When can I return to normal activities? Most patients can return to work or school within a week. However, contact sports and activities that might injure the ears should be avoided for **6-8 weeks**. Swimming should be avoided for **4-6 weeks**. ### How long do I need to wear the protective headband? A protective headband is typically worn for **1-2 weeks** during the day and for **4-6 weeks** at night to protect the ears while sleeping and prevent accidental injury. ### Are the results of otoplasty permanent? Yes, the results of otoplasty are typically **permanent**. The ears will maintain their new position throughout life, though normal aging processes will continue. ### Can otoplasty be combined with other procedures? Otoplasty is often performed as a standalone procedure, but it can be combined with other facial surgeries if appropriate. This will be discussed during your consultation. ### How much does otoplasty cost in Cape Town? Otoplasty costs vary based on the complexity of the correction needed and whether one or both ears are treated. A detailed quote is provided during your consultation with **Dr Maresky**. ### Will my child miss much school after otoplasty? Most children can return to school within a week of surgery. They'll need to wear a protective headband and avoid contact sports, but can participate in most normal school activities. ### What should I expect during the consultation? During your consultation, **Dr Maresky** will examine the ears, discuss your goals, explain the surgical technique, review risks and benefits, and answer all your questions. For children, it's important they feel comfortable with the decision. ## Indicative pricing - Estimate: R60,000 to R80,000 ZAR - Cost factor: One ear vs both - Cost factor: Age of patient - Cost factor: Complexity of correction - Detailed cost page: https://doctormaresky.co.za/cost/otoplasty - Final pricing is confirmed after an individual consultation. ## Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact