Otoplasty had been widely practice in India, since 5th century BC. Much of the modern day, Otoplasty techniques draw from that ancient tradition. Otoplasty, in essence, means shaping of the ear. When perfumed, the patients want to alter the shape, not the function of the ear. Usually, older men and women with very large ears, undergo this process. Others who receive the surgery have overly large conchal bowl. As a corrective surgery, Otoplasty can correct ear birth defects or malformations that occurred as a result of injury.
Usually, this process gets done with local anesthesia. Some patients cannot sit still for hours. For fidgety patients, a mild sedative may be applied to have them sleep through the operation. Everyone, ranging from older to children can get an ear surgery. If protruding ears bothers your child, he may be eligible for surgery. Even a mild change can help the patient feel better about their appearance.
What is otoplasty Miami surgery?
This procedure can vary depending on the area that needs improvement. In general, ear incisions will have a post exterior side. You won’t be able to tell a person underwent ear surgery since incisions are unnoticeable. On the case of serious birth defects, complete ear reconstruction may be necessary. Local anesthesia with sedatives is generally used in this type of procedure. Children will need general anesthesia. Surgical and non-surgical techniques are employed and they may be combined to achieve optimal results.
Antithetical Fold Manipulation
The antithetical fold has a Y shape and is located at the center of the ear. Individuals with congenital ear malformations tend to have antithetical fold manipulation. They lack cartilage to shape the whole ear. During this procedure, the surgeon will first make a surgical wound on the ear cartilage at the fold. The shape is defined by applying pressure. Sometimes the surgeon may rough up the antithetical fold’s front surface, which helps the cartilage to bend backwards facing the defined part of the ear. The antithetical can be corrected with a full incision. A full incision helps the surgeon apply some force in order to correct it.
Conchal Alteration Otoplasty Procedure Miami
The conchal shape is found before the ear hole. When this part is deformed, it can affect the antithetical fold shape. During theis revision procedure, the surgeon can decrease the conchal angle by 25 degrees. After that, the conchal is sutured a bone below the ear called mastoid fascia. Sometimes the doctor may choose to remove part of the conchal’s thickness. After that, the surgeon will suture the conchal in order to hide the procedure scars. Both techniques can also be combined.
Correction of Earlobe Prominence
Reconstructing the earlobe takes time and patience; mostly, because the external ear has been moved two thirds up. This shift, combined with a prominent earlobe, makes the ear look disproportionately big in comparison with the rest of the head. First, the doctor cuts the skin over the medial surface of the earlobe. He then takes off a small bite of the conchal undersurface. Lastly, he pulls the earlobe toward the region he removed from the conchal. He sutures both together, thus implementing the change.
Alteration of the position of the auricular upper pole
Sometimes, the upper third of the pinna has too much prominence. When the operation of the Antithetical fold does not help, surgical correction may be needed. The first alteration focuses on ear augmentation. Basically, the doctor adds extra cartilage to the underdeveloped areas of the ears. This cartilage may be taken from other parts of the ear or the rib cage. This change corrects the underdeveloped or absent pinna, or external ear. In an ear pin back, the patient needs their ear flattened against their head. The surgeon makes an incision behind the external ear. He then cuts a small tunnel along the front of the badly form Antihelix, of the tail part of the Y. Then, he loosens the conchal and moves it closes to the head, after he removes excess skin.
The doctors then sutures the antithetical fold, in order to have the earlobe match the proportion of the pinna. During ear reduction surgery, the doctor cuts excess tissue from any prominent part of the ear.
About 20-30% of babies come to this world with deformed ears. Such deformities usually change with time. Non-surgical methods can correct bat ears, elf ears, lack of curvature of the top part of the ear, flattened cauliflower ear, etc. The infant has more malleable pinna, due to the remnants of the mother’s estrogen circulating in the blood. During that time, such minor birth defects can be easily corrected. Via the methods of Taping, Designed splits, EarWell, and Ear Buddies the defect can be corrected. These techniques can only be used effectively and produce optimal results during the first 6 weeks.
Complete and Utter Ear Reconstruction
Patients who suffered an accident, have cancer, or no external ears may require reconstructive surgery. To reconstruct the entire ear, the surgeon takes cartilage from the patient’s ribs. This cartilage then gets structured into the patient’s skin, on the location where the new ear gets reconstructed.
This skin then envelopes the ear prosthesis. Once in place, the surgeon recreates the pinna and all the other key structures needed to form the ear. During the follow up surgeries, the surgeon forms the earlobe while separating the pinna from the rest of the head.
Like any other operation, Ear Surgery has some risks worth noting. With surgical corrections, the patient runs the risk of having scarred ears. Luckily, otoplasty scars remain hidden behind the ear. Changes during the healing process may make your ears asymmetrical. Sometimes, stiches may rise to the surface of the skin, and may need to be removed. This may cause inflammation of the skin and may require the patient to undergo surgery. Other problems include over corrections which makes the ear look unnatural. Sometimes the ear may get an infection or a blood clot. At worst, patients may see a gradual reversal of the surgery. Another complication involves numbing of the surgical area.
Preparing for surgery
Before the operation, parents must talk to their children and take them to the preliminary consultation. They need to inform the school of how many days their child needs to miss. They also need someone to take care of them at all times. Putting age aside, the patient must stop taking aspirin for at least two weeks before the operation. For smokers and alcohol drinkers, they must stop for at least two weeks, as well.
All patients need a clean bill of health before undergoing the operation. They must also cut their hair short or braid their long hair. This gives the doctor more freedom during the operation. You must tell your doctor about all the medicine you are taking. Patients should stock up on prescribed pain medications. These medications usually must be taken for at least 2 to 3 days.
On the day of the surgery, patients must wear loose clothing. They should avoid restrictive collars that must be pulled over their heads. For children, they must avoid wearing, in the future, anything that bends or pulls at their ear. Patients can rest more comfortably in the surgical bed, the Anesthesiologist then applies the anesthesia. Depending on the age, the otoplasty surgeon may use general or local anesthesia. The procedure can take roughly two hours, depending on the type of procedure performed. Children and some adults may require staying in the hospital overnight. Most adults should plan to have someone drive them home or look after them during their hospital stay.
During the first few days, the patient has to wear a bandage dressing over the ears. Patients must avoid putting pressure over their newly operated ears. Needless to say, they must sleep on their backs. When showering, patients must avoid getting the dressings wet. After removing the bandages, the patients have to wear a loose headband, covering the ears, before sleeping. A tight headband may erode the surface of the ear and reopen the wound. Excessive rubbing or pressure may cause necrosis, or premature death of ear skin cells.
Depending on the procedure, the recovery time may range from 7 to 10 days. Some patients may return to work after 72 hours, depending on their hair style. Even after the recovery period, for 10 weeks the patient must avoid straining the ear. Bruising and swelling of the ears usually lasts 2 to 3 weeks. Children may return to school after four days. Still, they should not do physical education for at least three weeks. As for adult patients, for three weeks they should not do any aerobics, bending, lifting or straining since it delays the healing process. After surgery, the patient should eat only liquids. They should advance to solids at their own discretion. They must always drink plenty of liquid to avoid dehydration.
Otoplasty is a complex decision process. The surgery cost is determined based on the patients’ desires, previous injuries, and anatomy. The cost will be determined during your initial consultation. Depending on the method, Otoplasty prices range from $1700- $7000. Complete ear reconstruction will cost more.
Does my Insurance cover Otoplasty Miami?
The insurance does cover otoplasty when it corrects a deformity or a congenital defect. You must speak with your insurance company to discover what it exactly covers. You can ask your surgeon to write a letter to your insurance explaining the nature of the surgery. When you undergo surgery for cosmetic reasons, the insurance does not cover it.