What is Ear Aesthetics?
Ears, which are originally hearing organs, are also aesthetically important organs that affect the perception of facial integrity due to the projections they form on both sides of the head. The fact that the angle of the ears with the head is higher than normal is called the prominent ear problem and it is seen quite frequently in one of twenty children, that is, in the society. Ear problems are not limited to prominent ears, problems such as the size of the ears, the size of the earlobes, the rupture or enlargement of the ear holes are also among the problems that can be treated with aesthetic intervention. The ear is a cartilage structure consisting of unique folds that are different from other cartilage structures in the body. Even thin folds are important for ear aesthetics.
Prominent ear deformity usually occurs due to genetic reasons, and since the folds in the upper half of the ear are also deleted, the ear appears open and flat outward. This appearance may result in ridicule by friends and psychological loss of self-confidence when the child comes to the age of play and socializes. This can even affect school success.
If prominent ear deformity is noticed at birth, it can be treated without surgery in the first few months with molding and taping methods, but these treatments fail because the cartilage hardens after the third month.
Ears are fast growing organs and reach 90% of their adult size by 5-6 years of age. In order to protect the child from psychological trauma at school, the ideal age for prominent ear surgery is considered to be 5-6 years old. Ear plastic surgery can be performed at any age. Interventions up to the age of 12 can be performed under general anesthesia and then with local anesthesia. General anesthesia can also be applied to people older than 12 years of age who are afraid of local anesthesia.
The surgery takes approximately 1-1.5 hours and generally does not require a stay in the hospital. Although different surgical techniques can be used depending on the condition of the patient’s ear problem, the most commonly used method is the process of laying the cartilages backwards with permanent sutures. The printed bandage around your ears after surgery is removed 2 days later. After that, tennis headbands or headbands should be worn for 2 weeks, neither too tight nor too loose to protect the ears. There may be swelling and bruising/redness for 1-2 weeks. It is not necessary to take stitches as dissolving stitches are used.
Although patients are afraid that their stitches will open and their ears will become prominent again, this possibility is very, very low.
Since the surgery is performed through an incision made behind the ear, there is no visible scar when viewed from the front. The scar can only be noticed if the back of your ear is opened and examined.
Tears or enlargement of the earlobe may occur due to heavy earring use and/or snagging. This situation can be easily corrected under local anesthesia. However, after this process, you should not use earrings for a few months to prevent reopening.
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Kenan Selçuk TUNCAY
Otolaryngologist