DR.ZAhmed Abdelaziz
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Otoplasty (Ear Surgery)

Otoplasty is a surgical procedure designed to improve the shape, size, or position of the ears, particularly for prominent or asymmetrical ears, creating a more balanced and natural relationship with the face.

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Otoplasty (Ear Surgery)
Dr. Ahmed Abdelaziz | Dr.ZRefined Results. Never Overdone.
[ Face & Neck Surgeries ]

Otoplasty is a surgical procedure designed to improve the shape, size, or position of the ears, particularly for prominent or asymmetrical ears, creating a more balanced and natural relationship with the face.

DR.Z
[ 01 ]

ABOUT THE PROCEDURE

Otoplasty is not intended to make both ears perfectly identical. Its purpose is to improve balance between them and reduce prominence or refine shape in a way that suits the face. The most common concern is prominent ears, which may result from an underdeveloped natural cartilage fold, a deep conchal bowl, or an increased angle between the ear and head.

The procedure may involve setting prominent ears closer to the head, reshaping cartilage, reducing large ears, correcting asymmetry, or repairing a torn earlobe. The surgical plan is individualized according to cartilage structure, ear shape, and the degree of correction needed.

  • Corrects prominent or asymmetrical ears
  • Reshapes cartilage to improve ear position
  • Uses a discreet incision behind the ear
  • Suitable for children and adults after assessment
[ 02 ]

INDICATIONS

Have ears that project noticeably away from the sides of the head.
Have asymmetry in ear size, position, or shape.
Have ears that appear disproportionately large relative to the face.
Have a congenital ear deformity or shape changes after an injury.
Have a split or torn earlobe caused by earrings or trauma.
Want improved balance between the ears and facial features without exaggerated change.
For children, surgery may be considered once most ear growth has occurred; for adults, it can be performed at any medically appropriate age.
[ 03 ]

CONTRAINDICATIONS

There is an active infection or inflammation involving the ear skin or cartilage.
A child’s health status or ear development is not yet suitable for surgical planning.
Uncontrolled medical conditions, bleeding disorders, or healing concerns increase surgical or anaesthetic risk.
The patient smokes and cannot follow cessation requirements before and after surgery.
Expectations assume perfect symmetry or no surgical evidence at all.
A complex congenital deformity requires a specialized reconstructive plan and multiple treatment stages.
[ 04 ]

HOW THE PROCEDURE WORKS

[ 05 ]

Assessment and planning

The ears are examined from the front, side, and back to assess projection, cartilage folds, conchal bowl size, and symmetry. The surgeon selects the appropriate correction and plans the incision in the natural crease behind the ear.

[ 06 ]

During surgery

  • Children commonly undergo general anaesthesia, while adults may have local anaesthesia with sedation or general anaesthesia depending on the case.
  • A small incision is made behind the ear in a concealed area.
  • Natural cartilage folds may be recreated or strengthened using precise sutures.
  • If the conchal bowl is deep or wide, cartilage may be adjusted or secured to bring the ear closer to the head.
  • Sutures are used to hold the ear in a more proportionate position, then the incision is closed with fine stitches.
  • A protective dressing or headband is placed to protect the ears and support their position during early healing.
[ 07 ]

After surgery

  • Swelling, bruising, mild discomfort, and a feeling of tightness are expected during the first days.
  • Sleeping with the head elevated and avoiding pressure on the ears are recommended.
  • Non-dissolvable sutures may be removed after approximately one week according to the treatment plan.
  • Return to school or work is often possible within several days, depending on activity level.
  • A nighttime headband may be used for a defined period to protect the ears from friction or bending during sleep.
  • Follow-up appointments monitor healing, ear position, symmetry, and cartilage stability.
[ 08 ]

RESULT

Improved ear position and shape are visible after surgery, but initial swelling may mask part of the result. Over the following weeks and months, the ears settle into their new position and look more natural and balanced with the face.

The goal is ears that sit closer to the head or are more harmonious in shape while preserving a natural appearance and avoiding over-correction. A small natural difference between the ears may remain, as exact symmetry is not a realistic surgical goal.

  • More balanced ears in proportion to the face
  • Clear reduction in ear prominence when needed
  • Scar concealed behind the ear where possible
  • Gradual settling of shape over the following months
[ Patient Education ]

Otoplasty (Ear Surgery) — Blog

Patient-focused articles about surgery, body contouring, consultation and responsible aesthetic planning.

Medical information is educational and does not replace an in-person consultation. Suitability, technique and recovery vary by individual case.

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Final suitability and recommendations are determined after medical assessment.
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