Otoplasty (Cosmetic Ear Surgery/Pinning) In Belleek, Fermanagh

In your first appointment with a surgeon, you should clearly explain your expectations of the surgery and how you or your child would like to look afterwards.

Careful discussions regarding your reasons for Otoplasty or cosmetic ear surgery are very important at this stage. Make sure that you obtain as much information as is necessary to enable you to make a fully informed decision about whether to go ahead with the surgery and feel comfortable about the operation.

The surgeon should also ask for a medical history, to make sure that there are no reasons why you shouldn’t have an otoplasty. At this point, you would also normally be asked to sign a consent form which means that you have understood the future benefits and possible risks associated with the procedure.

Photographs of your ears may also be taken by the practitioner for a “before and after” comparison later.

The surgeon may wish to write to your G.P. giving details of the operation so that if there are any problems associated with it in the short or long-term, the G.P. is aware of the surgery and can help you if you require any further treatment after the operation.

Anaesthesia

The operation can be performed under a local anaesthetic. However, some patients are given their anaesthetic via an intravenous drip. Sometimes a full general anaesthetic may be used and this is particularly common when children are having the surgery

As in any surgical procedure, the use of a general anaesthetic carries a small additional risk which your practitioner will discuss with you. No form of anaesthetic will be given to you without your surgeon discussing it with you first.

The operation

The surgery can be performed in an outpatient surgical centre, which may either be separately run by your surgeon, or may be part of a hospital.

The procedure can take between 2 - 3 hours, but depending on the extent of the procedure, it can take longer.

Surgery begins with an incision just behind the ear, in the natural fold where the ear is joined to the head. The surgeon will then remove the necessary amounts of cartilage and skin required to achieve the right effect. In some cases, the surgeon will also trim the cartilage, shaping it into a more attractive form and then pin the cartilage back with stitches that remain permanently.

The initial cut is then closed, usually with dissolvable stitches, and bandages are placed around the head to cover the ears.

Ears will be sore and tender immediately following an otoplasty or cosmetic ear surgery operation, with some mild bruising and swelling.

Odd sensations of "tightness", or "pulling", of the ears may be noticed during healing, but these usually disappear after a week or so.

Other rarer risks or side effects include bleeding underneath the skin, a reaction to the anaesthetic, infection and sometimes skin numbness that can occasionally be permanent.

There will be a thin white scar afterwards which is rarely noticeable as it is hidden in the ear crease. Occasionally, however, excess scar tissue can form and this can appear quite lumpy.

There is also the possibility of slightly lop-sided ears which may require another operation to put it right.

There are few reasons why you shouldn’t undergo this procedure, but you should be in good general health and have realistic expectations of the outcome of the surgery.

If you are prone to keloid (red, angry, raised) scars, or have a history of problems with wound healing your surgeon may not recommend this procedure or may caution you that scars could be raised and very visible.

It is becoming increasingly unlikely that anyone considering cosmetic ear surgery would be able to access this free of charge on the National Health Service.

However certain regions do make special cases, especially for children, and we would always recommend that you visit your General Practitioner before embarking upon a cosmetic procedure involving surgery.

As well as their advice and guidance they may also be able to refer you to a local NHS Hospital for a consultation.

The NHS has set out the following guidelines on how to get cosmetic surgery through the NHS:

"To qualify for surgery on the NHS you must meet specific criteria as set out by your local health authority. The NHS will not pay for surgery for cosmetic reasons alone. Reconstructive and cosmetic surgery to correct, or improve, congenital abnormalities and injuries will usually be carried out free of charge.

NHS reconstructive surgery is performed by plastic surgeons who have had extensive training and belong to the British Association of Plastic Reconstructive and Aesthetic Surgeons. Surgeons who carry out cosmetic surgery through the NHS also belong to the British Association of Aesthetic Plastic Surgeons.

To receive cosmetic surgery from the NHS, you will normally need a referral from your GP. You will have a consultation with a plastic surgeon and an assessment by a psychiatrist, or psychologist. It will then be decided whether there is enough social, psychological, or physical benefit to be gained to justify surgery."

You should have realistic expectations of an otoplasty or cosmetic ear operation and accept that there are limits as to what ear surgery can achieve physically and emotionally for you or your child.

Most patients who go into the surgery with this positive attitude experience a successful outcome following an otoplasty procedure, which is performed by a skilled surgeon.

Before you have this surgery, you should realise that most people's ears are not perfectly symmetrical or perfect to begin with.

Also, although the results are usually permanent, there is always some small amount of forward movement of the ears after the operation. This is because ear cartilage is very elastic and so the ears will move naturally.