Ear Surgery in Beverly Hills
Providing Adults & Children with Proportionate, Balanced Ears
If protruding or poorly shaped ears bother you or your child, you may consider
ear surgery — also known as otoplasty—as a potential solution.
Otoplasty can improve the proportion, position, or shape of the ear. It
can also correct a defect in the ear structure that was present at birth,
and it can treat ears misshapen as a result of an injury. Ear surgery
can bring balance and proportion to the ears and face. Correction of even
minor deformities can have immense beneﬁts to appearance and self-esteem.
Specifically, ear surgery can treat:
- Protruding ears present on one or both sides of the face
- Enlarged ears
- Adult dissatisfaction with previous ear surgery
Otoplasty is usually performed when a patient’s ears protrude away
from their head excessively.
Correcting Many Types of Ear Asymmetry
Ear surgery is one of the few cosmetic procedures that can be performed
on children as young as five years old, with many parents opting to have
ear surgery performed on their children in order to protect them from
being a subject of ridicule in school. Ear deformities occur as a result
of numerous conditions. Weak or poorly formed ear cartilage can cause
small, absent (microtia), or protruding ears. Unpleasant deformities of
the ear also occur due to injury (e.g. trauma or dog bite). Deformity
of the ears may cause social anxiety and may make children vulnerable
to teasing. Regardless of the origin of the ear deformity, Dr. Joubin
Gabbay, M.D. can correct these ear conditions during an otoplasty procedure.
Ear surgeries do not alter the patient’s hearing, but they may improve
one’s appearance and self-confidence.
Common surgical techniques employed during ear surgery include:
Rib Graft: utilizes your body’s own biological tissues (rib cartilage and skin)
to reshape or reconstruct the ears
Medpor: this technique uses a synthetic material consisting of a porous, high-density
polyethylene (PHDPE) covered by a skin graft. Although a Medpor framework
is not made of living tissue as in the Rib Graft technique, Medpor material
does become vascularized as the blood vessels of the living tissue infiltrate
the porous holes within the synthetic framework.
Soft Tissue: if enough of the deformed ear is present, Soft Tissue Ear Reconstruction
may be a better choice than the Rib Graft or Medpor techniques. Soft-tissue
reconstruction is an option for children or adults with smaller ears or
ears that are folded over.
Tissue Expansion: this technique employs the use of a balloon filled with saline to slowly
expand the area of skin in the ear region over time
To ensure symmetry and balance, surgery is typically performed on both
ears, even when only one appears to protrude. Cosmetic ear surgery takes
approximately 2-3 hours, although the duration of the surgery and the
surgical technique used will depend on the nature of each patient’s
case. Local, intravenous, or general anesthesia will be administered for
your comfort during the surgical procedure, and Dr. Gabbay will work with
you to select the best choice for your surgery. During your ear surgery,
Dr. Gabbay will use surgical techniques to create or increase the antihelical
fold (located just inside the rim of the ear) and to diminish distended
conchal cartilage (the primary and deepest concavity of the external ear).
Incisions for otoplasty are usually made on the back surface of the ear;
however, if incisions are necessary on the front of the ear, they will
be made within the folds of the ear, in order to disguise them. Internal,
non-removable sutures will be utilized in order to create and secure your
newly re-shaped ear cartilage.
During recovery from your otoplasty surgery, you will be asked to wear
a headband during sleep to protect the surgical correction for the first
2-3 weeks. Patients can resume normal activities approximately two weeks
after otoplasty surgery, although complete healing of the wounds and reduction
of swelling may take 6-12 weeks. If you would like more information about
ear surgery, please contact Gabbay Plastic Surgery and we will be happy
to answer any and all of your questions, and to schedule an initial, complimentary
consultation with Dr. Gabbay. You may also click the link below to read
a more in-depth description of the otoplasty procedure.
Is Otoplasty Right for You?
Ear surgery (otoplasty), is generally performed to reduce the size of overly
large ears, or to set prominent ears back closer to the head. Ear surgery
can be performed on children and adults and is indicated for a number
of ear-related issues, including:
- Protruding or overly large ears
- Prominent ear deformity
- Stahl’s ear deformity: abnormal pointing of the top of the ear
- Earlobe ptosis or sagging
- Earlobe cleft: a split in the earlobe due to prolonged earring use
- Reconstruction after traumatic injuries
- Reshaping a folded or cauliflower ear deformity
- Improving unbalanced or asymmetrical ears
- Cupped ears: disproportionately small ears
- Lop ear: ear tip folds downward and forward
- Shell ear: a curve in the outer rim, as well as the natural folds and creases
of the ear, are missing
- Disproportionately large or stretched earlobes, or earlobes with wrinkles
- Missing Ears: ears can be constructed for those who were born without them
or who lost them through injury
Determining Good Candidates for Ear Surgery
If you are interested in learning more about ear surgery, please call Gabbay
Plastic Surgery and let us schedule your personal consultation with Dr.
Gabbay. During your meeting, Dr. Gabbay will discuss your overall expectations
and aesthetic goals, in order to determine whether otoplasty is a suitable
option for you.
You should come to your consultation prepared to discuss your medical history
(including any past surgeries), present medical conditions, allergies,
and medications. It is imperative that you are honest and provide complete
information, as numerous medical conditions can potentially increase the
risks and complications associated with surgery. If Dr. Gabbay feels that
you are a good candidate for ear surgery, he will explain the different
techniques, costs and potential side effects before scheduling your procedure.
When choosing Dr. Gabbay, you can be assured that you are in the hands
of a surgeon who has undergone extensive training and is highly esteemed
by his colleagues and patients alike.
About the Procedure
Otoplasty is typically performed as a 2-3 hour outpatient procedure under general
anesthesia; however, the exact details of the surgery will depend upon
the ear deformity that needs correction. During the surgery, Dr. Gabbay
will make an incision in the crease behind the ear where the ear is joined
to the head. He will then sculpt and fold the ear to a more aesthetically
desirable shape, before using sutures to secure the cartilage into position
(in rare cases, Dr. Gabbay will remove cartilage to improve the ear shape).
To ensure symmetry and balance, surgery is typically performed on both
ears, even when only one appears to protrude. Earlobe reduction can be
performed during the same surgery as the earlobe reshaping, or as a separate
procedure. If earlobe reduction is the only procedure required to correct
the ear deformity, it can be performed under local anesthesia and requires
During your recovery from ear surgery, you will be asked to wear a headband
as you sleep for the first 2-3 weeks, in order to protect the surgical
correction. Soft dressings applied to your ears will remain for a few
days, and most patients experience mild discomfort that can be easily
controlled with pain medication. If you are used to sleeping on your side,
your sleep patterns may be disrupted for at least one week because you
will not be allowed to put any pressure on your ear areas. Patients can
resume normal activities approximately two weeks after otoplasty surgery,
although complete wound healing and the abatement of swelling may take
6-12 weeks. Patients can engage in exercise 2-3 weeks after the procedure;
however, contact sports should be avoided for 6-8 weeks. Although rare,
complications that have been reported with any ear surgery include infection,
bleeding, relapse of the ear shape, and mild ear asymmetry.
At Gabbay Plastic Surgery, our Beverly Hills ear surgery expert can help
you to achieve balance in your facial features. Call (310) 928-2558
today to learn more!