Otoplasty

• Improved self-esteem Otoplasty: Otoplasty can be performed from the age of seven, by which time the ears have acquired their adult size and shape. This procedure is all the more indicated if the child is suffering psychologically because of mockery or derogatory remarks from friends.

Before the operation, a pre-operative consultation is compulsory. If the presence of an anaesthetist is required, a consultation with him or her will also be arranged. Otoplasty is usually performed in the operating theatre on an outpatient basis, with discharge authorised on the same day, but in some cases a short stay in hospital may be necessary.

During the operation, the cosmetic surgeon will choose the appropriate technique depending on the defects to be corrected and the chosen surgical strategy. The operation, which lasts between 1 and 2 hours, involves making an incision behind the ear or at the back of the ear. The skin is then removed as required, and the cartilage remodelled.

It takes one to two months to appreciate the final result. This is the time needed for the tissues to soften and for all the oedema to subside, leaving the contours of the ear clearly visible. After this time, only the scars will still be slightly pink and indurated before fading, after about 12 months.

The aim of all surgery is to improve, not to achieve perfection. As long as the patient's wishes remain realistic, the result should give great satisfaction. In the case of otoplasty, it is important to be aware that a touch-up operation may be necessary if a stitch on the cartilage breaks, and that hypertrophic scars are possible, particularly in young children.