Otoplasty

Earlobe-plastic surgery, as an aesthetical case, is one of most demanded interventions. It is the correction of jug-ears, that is to say to fit them closer to the head. Not so often the earlobes can be made smaller, partly or entirely supplementing lobes or any other corrections of their rare deformities.

Making this surgery is possible above the age of 6. There is no upper age limitation, but it more often happens during childhood or in early years of adult. The intervention for an experienced surgeon, is relatively simple, even for the patient it doesn’t cause a serious burden and only very few complications occur in only the rarest of cases.

The operations are done under local anaesthesia, there is no need to narcotise, but if it is wanted, the possibility is given. Blood and urine have to be tested before the operation. These examinations can be performed in our clinic. Laying on the operation table the patient receive an anaesthetic injection into the earlobe that causes a small pain only for few seconds but it is effective at once and so during the operation there are no other aches or any other uncomfortable feelings. The lobe’s cartilage is bent, reshaped or a part of it removed and the new form is secured by inner stitches: these are actually the intervention. A couple cm long cuts on the backside surface of lobe are made, which will be sewn up after the operation by a single running stitch. The cut after being recovered becomes only a lank scar at the backside of lobe. Cuts are not made on outer surfaces, accordingly the print of the operation won’t be apparent. Around the intervention area the hair does not have to be shaven or cut. The duration of the operation is about 1-1,5 hours.

After finishing a band-like bandage is put onto the head so that it covers the forehead, the ears and the scruff of the neck, but the top part of head becomes free, also the bandage at the sides and back can be hidden by the patient’s hair.

The operation is made in an ambulant, that means the patient is able to leave the clinic after a half hourly rest. It is advisable to spend 2-3 days by remaining in bed and after this period, easier mental or manual work is allowed. Such work or sport, which would cause perspiration have to be avoided. After 3-4 hours the effect of the anaesthetic will be over, pulsing, a burning feeling or a blunt ache occurs mainly during the first night. During this time painkillers can be used. These kinds of aches decrease and cease completely after a couple of days.

After finishing a band-like bandage is put onto the head so that it covers the forehead, the ears and the scruff of the neck, but the top part of head becomes free, also the bandage at the sides and back can be hidden by the patient’s hair.

The operation is made in an ambulant, that means the patient is able to leave the clinic after a half hourly rest. It is advisable to spend 2-3 days by remaining in bed and after this period, easier mental or manual work is allowed. Such work or sport, which would cause perspiration have to be avoided. After 3-4 hours the effect of the anaesthetic will be over, pulsing, a burning feeling or a blunt ache occurs mainly during the first night. During this time painkillers can be used.   These kinds of aches decrease and cease completely after a couple of days.

The bandage doesn’t have to be changed the removal of both bandage and the stitching needs only few minutes and doesn’t hurt at all. This happens according the type of operation in the 6th-9th day. This time the new configuration is visible, the lobe fits to the head but for a short while it could be swollen, rumpled or pinker. These abnormalities vanish in a few days, and the results will remain for the whole life. Recrudescing is very rare only in about 1 % of cases. Hair-washing at the day of the bandage removal is possible but swimming, hairdressing, hair dyeing for 2-3 weeks aren’t advised. Also after bandage removal a circular bandage and Ramofix net wearing during sleep is needed.

Complications occur very rarely. Bleeding at the operated area, thanks to the tight bandage is almost impossible; it occurs less then1 % percent of cases. Inflamed complications- at a well-blooded and sterile operation area- occurs very rarely at the amount of one per thousand. Diseased scarring is a rare complication and it occurs when the patient has a keloid inclination. After the operation in the case of 4-5% of patients there may occur some confused sensations. The touched lobe is more perceptive or less sensitive, some patients have a funny feeling and numbness may occur. These symptoms will disappear in a couple of weeks time, but the insensibility in some cases could remain for more months.  The operation never affects the hearing, weaker hearing or any other problems cannot occur even in the cases of complications.