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Dr. Hootan Daneshmand

Otoplasty Orange County, Newport Beach & Bakersfield

Ear Pinning Surgery in Newport Beach, Orange County, & Bakersfield

Ear pinning surgery sets protruding ears closer to the head through an incision hidden in the crease behind each ear. Board-certified plastic surgeon Dr. Daneshmand performs this form of otoplasty for children and adults in Orange County, Newport Beach, and Bakersfield, and has treated congenital defects in children as a Rotaplast International volunteer surgeon since 1991.

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What Is Otoplasty?

Otoplasty, commonly called ear surgery or ear pinning, is a surgical procedure that changes the size, shape, position, or projection of the ears. It is most commonly performed to improve prominent or protruding ears, but otoplasty can also address differences in ear shape, size, or development.

Prominent ears can affect a person’s confidence, particularly during childhood. Otoplasty can be performed on older children, teenagers, and adults, depending on the patient’s development, anatomy, and goals. The procedure is typically individualized to preserve natural-looking ear contours and appropriate proportions.

orange county otoplasty

Types Of Ear Pinning Surgery in Orange County, Newport Beach, & Bakersfield

The specific technique depends on the patient’s anatomy and the concern being addressed. Common types include:

  • Ear Pinning: Used to reduce the appearance of protruding or prominent ears by reshaping and repositioning the ear closer to the head. Incisions are commonly placed behind the ear, although the technique varies depending on the cartilage and the amount of correction needed.
  • Ear Augmentation: May be appropriate for patients with unusually small or underdeveloped ears. The procedure increases the size or improves the shape of the outer ear and may involve cartilage grafting or other reconstructive techniques depending on the underlying anatomy.
  • Ear Reduction: Designed for patients with disproportionately large ears, a condition known as macrotia. The surgeon may reduce the size of the outer ear, and in some cases the earlobe, while maintaining natural proportions.

Otoplasty Benefits

Ear pinning surgery can improve the position, shape, size, and projection of prominent or asymmetrical ears. Potential benefits include:

  • Reduced Ear Prominence: Otoplasty can reposition ears that project too far from the head and, when appropriate, reshape the cartilage to create a more natural ear position. Rather than aiming for one specific angle, your surgeon will consider your individual anatomy, facial proportions, and desired appearance.
  • Improved Facial Balance: Adjusting the position or shape of the ears can create better overall proportion and harmony between the ears and facial features. Otoplasty can also improve noticeable differences between the two ears, although perfect symmetry cannot be guaranteed.
  • Improved Confidence: Patients who have been self-conscious about prominent ears may feel more comfortable with their appearance following surgery. Studies from the National Library of Medicine have reported improvements in quality of life and self-perception after otoplasty, particularly among patients who were significantly bothered by their ears.
  • Long-Lasting Results: Otoplasty can provide durable correction by reshaping and repositioning the ear cartilage. However, results are not guaranteed to remain completely unchanged. Partial recurrence or changes in ear position can occur, and some patients may require revision surgery.
  • Individualized Surgical Techniques: Depending on your ear anatomy, Dr. Hootan Daneshmand may use sutures, cartilage reshaping, cartilage scoring, cartilage reduction, or a combination of techniques. Modern otoplasty aims to preserve natural contours and avoid an overly flattened or “pinned-back” appearance.
  • Relatively Limited Recovery: Otoplasty is generally performed as an outpatient procedure, and many patients can return to school or work relatively soon after surgery. However, swelling, bruising, tenderness, and sensitivity can persist beyond the initial recovery period. Your surgeon will provide specific instructions regarding exercise, sleeping position, headbands, and other activities.
  • Very Few Risks: The last benefit of an otoplasty is that there are very few risks of infection or revision surgery, unlike many other facial plastic and reconstructive surgeries. The healing process generally doesn’t last longer than two weeks, so patients can quickly resume their normal activities.
ear pinning surgery ORANGE COUNTY

How To Prepare For An Otoplasty

Whether you are preparing for yourself or your child, proper preparation can help make otoplasty safer and the recovery more comfortable. During your consultation, Dr. Daneshmand will review your medical history, medications, allergies, previous surgeries, and goals for ear surgery. Children should also feel comfortable with the procedure and understand, at an age-appropriate level, what to expect.

Review your medications and supplements: Tell Dr. Daneshmand about all prescription and over-the-counter medications, vitamins, and herbal supplements. Aspirin, certain anti-inflammatory medications, and some supplements can increase bleeding and may need to be temporarily discontinued. Do not stop a prescribed medication without specific instructions from your surgeon or prescribing physician.

Stop smoking, vaping, and drinking alcohol: Nicotine can reduce blood flow and interfere with wound healing and increase the risk of complications. Your surgeon will provide specific instructions about when to stop before surgery and when it is safe to resume. Follow your surgeon’s instructions regarding alcohol before surgery, particularly if you will receive anesthesia or medications that can interact with alcohol.

How Is The Cosmetic Ear Surgery Performed?

Otoplasty surgery is typically an outpatient procedure that takes about two hours. Before surgery, Dr. Daneshmand will examine your ears, discuss your goals, and develop an individualized treatment plan.

Otoplasty may be performed using local anesthesia with sedation or general anesthesia, depending on the patient’s age, health, treatment plan, and surgeon’s recommendation.

For prominent or protruding ears, Dr. Daneshmand typically makes an incision behind the ear, where the resulting scar is well concealed. In some cases, an incision may be placed within a natural fold on the front of the ear when necessary. The cartilage is then carefully reshaped, folded, repositioned, or selectively reduced to create a more natural ear contour and bring the ear closer to the head when appropriate. Depending on the underlying anatomy, techniques may include cartilage-sparing sutures, cartilage scoring, conchal reduction or setback, or a combination of approaches. Internal sutures may be used to hold the newly shaped cartilage in its desired position.

Once the desired shape and position have been achieved, the incisions are closed, and the ears are covered with a protective dressing or head wrap to support the new position during the initial healing period.

Otoplasty Recovery

After otoplasty, it is normal to experience some discomfort, swelling, bruising, redness, tightness, or changes in sensation around the ears. These symptoms are usually temporary and gradually improve as the ears heal. Following Dr. Daneshmand’s postoperative instructions can help support a smooth recovery.

Following your otoplasty, you can generally expect:

  • Swelling and bruising: These are common during the early recovery period and gradually improve. One ear may swell more than the other during healing.

  • Changes in sensation: Temporary numbness, tingling, tenderness, or increased sensitivity around the ears can occur and may take weeks or longer to fully resolve.

  • A protective dressing or headband: Your ears will typically be covered with a dressing immediately after surgery. Dr. Daneshmand may recommend a headband afterward to protect the ears and support them as they heal. Follow his instructions regarding how long and when to wear it.

  • Head elevation: Keeping your head elevated, particularly while sleeping, can help minimize swelling during the early recovery period.

  • Activity restrictions: You will need to avoid activities that could bend, hit, or put pressure on the ears while they heal. Your surgeon will let you know when you can resume exercise, sports, and other normal activities. Children may need temporary restrictions from contact sports and activities at school.

  • Incision care: Follow your surgeon’s instructions regarding topical ointments, dressings, showering, and incision care. Avoid rubbing or putting unnecessary pressure on the ears.

  • Follow-up appointments: Dr. Daneshmand will monitor your healing and check the position and appearance of your ears during follow-up visits.

Otoplasty Before and After: When Will I See My Results?

The change in ear position can often be seen soon after surgery, but swelling and redness can temporarily obscure the final appearance. Most patients feel significantly more comfortable within the first few weeks, but complete healing takes longer.

Many patients can return to routine activities relatively quickly, but the ears continue to heal and settle for several weeks. Scar maturation and subtle changes in swelling and ear contour can continue for months, so the final result should not be judged too early.

ear pinning orange county

How is an Otoplasty Performed?

A surgical otoplasty is generally a simple cosmetic procedure that only takes about two hours. But the entire process will begin with an initial consultation with Dr. Daneshmand. He will firstly examine your ears and provide you with a clear understanding of what to expect during your outpatient procedure.

When it’s time for your cosmetic surgery, Dr. Daneshmand will begin by sedating you with local anesthesia or general anesthesia. For an ear pinning procedure, he will make a few small incisions in the ear folds that are behind the ear. He will then use permanent sutures to basically angle the ears closer to the head. For ear augmentations or reductions, Dr. Daneshmand will likely trim or reshape the ear cartilage. Lastly, he’ll wrap your ears in a protective headband, prescribe pain medication, and send you home to heal.

What to Expect After an Otoplasty

Like any facial plastic and reconstructive surgery, you will likely experience discomfort, swelling, and pain while you heal. Luckily, this is generally short-lived with an otoplasty. As long as you follow after-care instructions from your doctor, your healing and pain will be manageable.

here is what to expect following your cosmetic ear surgery:

  • Your surgeon will instruct you to keep your head elevated, especially while you sleep.
  • There will be swelling, redness, and some changes in skin sensation while you heal.
  • You will probably have to wear a protective headband and apply topical ointments to the ears for a couple of weeks while you heal.
  • Complete recovery from an otoplasty can take up to six weeks, but most people feel better within two to three weeks post-op.
  • It can take up to six weeks to see full ear pinning results because sometimes it can take that long for swelling and redness to go down.
  • You will probably have a couple of follow-up appointments with your surgeon while you heal.

Non-Surgical Ear Pinning in Newport Beach, Orange County, & Bakersfield, CA

Patients with prominent ears have options beyond traditional otoplasty, but it is important to understand that these approaches are not appropriate for everyone.

Ear-Fold Implants

An ear fold implant is a minimally invasive implant procedure, rather than a completely nonsurgical treatment. A small implantable clip is placed beneath the skin to create or enhance the antihelical fold and bring the ear closer to the head. The procedure can generally be performed under local anesthesia and may involve a smaller incision and less tissue disruption than traditional otoplasty. However, an implant is not appropriate for every type of prominent ear. It is best suited to selected patients whose primary concern is an absent or poorly formed antihelical fold. Recovery is much quicker than an otoplasty because it’s considered a non-surgical procedure. Patients generally only experience discomfort for the first night or two following implant insertion.

Both procedures can provide long-lasting correction.

Otoplasty Vs. Ear Implants

Both traditional otoplasty and implant-based ear correction can reduce the appearance of prominent ears, but they work in different ways and are appropriate for different patients.

Otoplasty is a surgical procedure that can reshape, reposition, or reduce the ear cartilage. It can address several causes of ear prominence, including an underdeveloped antihelical fold, excessive conchal cartilage, or other differences in ear shape and position. Otoplasty generally involves more surgical work and recovery than an implant-based approach. Those who undergo an otoplasty can experience pain and discomfort for a couple of weeks.

Schedule an Otoplasty in Orange County, Bakersfield, or Newport Beach

At Silhouette Plastic Surgery Institute, we take great pride in the facial plastic and reconstructive surgery that we provide for our clients. Our goal is to improve the appearance and confidence of every person who walks through the doors of our Foothill Ranch plastic surgery center and our Newport Beach plastic surgery center so that they can live the happiest lives possible. Call board-certified facial plastic surgeon Dr. Daneshmand today at 949-359-8397 to schedule an appointment.

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