Introduction
Prominent or asymmetrical ears can sometimes affect a person’s confidence from an early age. Otoplasty, or ear reshaping surgery, is a procedure designed to reposition or reshape the ears for a more natural and balanced appearance.
If you or your child are considering otoplasty, understanding the procedure, recovery, and choosing the right surgeon are essential for achieving a safe and natural result.
What Is Otoplasty?
Otoplasty is a surgical procedure that corrects the shape, size, or position of the ears. It can be performed for:
✅ Prominent ears: Setting ears closer to the head to reduce prominence.
✅ Asymmetry or irregular shape: Reshaping ear cartilage for better symmetry.
✅ Ear reconstruction: Addressing congenital deformities (such as microtia) or trauma-related injuries.
This procedure is often performed under local or general anaesthesia, depending on the patient’s age and complexity of the surgery.
Who Is a Good Surgical Candidate?
You may be suitable for otoplasty if you:
- Are self-conscious about the size or position of your ears
- Have asymmetrical or irregularly shaped ears
- Are in good general health, non-smoking, and have realistic expectations
✅ Children and Teenagers: Otoplasty can be performed from around 5–6 years of age, once the ears are almost fully developed.
How to Prepare for Surgery
- Choose a Qualified Specialist Plastic Surgeon
Look for a surgeon with FRACS (Plastic & Reconstructive Surgery) certification and experience in aesthetic and reconstructive ear surgery. - Discuss Goals & Realistic Outcomes
Your surgeon will assess ear cartilage, skin elasticity, and facial symmetry to determine the best approach. - Plan for Recovery
Arrange for a few days off work or school, and avoid any activities that might risk trauma to the ears during the initial healing period.
What to Expect During Recovery
- Dressings and Bandages: A protective head bandages are usually worn for the first 1–2 weeks to support healing, then a headband for the next 4-6 weeks to further protect the ears.
- Swelling & Bruising: Mild to moderate swelling is common and settles over a few weeks.
- Returning to Activities: Children can usually return to school after 1 week, while adults can return to work around the same time. Avoid contact sports for at least 6 weeks.
Risks and Safety Considerations
Otoplasty is generally a safe procedure; but as with all surgery, it is an invasive and has risks including:
- Infection or delayed healing (rare)
- Over- or under-correction of ear position
- Asymmetry
- Scar thickening (keloid formation – more common in certain skin types)
A skilled Specialist Plastic Surgeon will use techniques that minimise these risks and aim for natural, symmetrical results.
Is Otoplasty Right for You?
For both adults and children, otoplasty can significantly improve self-confidence by creating a more natural ear shape and position. However, realistic expectations and choosing an experienced surgeon are key to achieving a satisfying outcome.
About Dr Paul Cheng
I’m Dr Paul Cheng, FRACS, a Specialist Plastic, Aesthetic & Reconstructive Surgeon practising on the Gold Coast and in Ballina, NSW. My experience includes both cosmetic and reconstructive ear surgery, with a focus on natural, balanced results.
If you’d like to learn more about whether otoplasty is right for you or your child, please book a consultation or follow me on Instagram @dr.paulcheng for educational updates.