Earlobe plastic surgery
The most frequent malformation of the ear is that of prominent ears.
I generally perform corrective surgery on adults as an outpatient procedure under local anaesthetic. For children, general anaesthetic is preferable.
The main incision is made on the back of the ear. The skin is lifted away and the ear cartilage is reshaped by carving the front cartilage surface. Occasionally, some cartilage at the base of the ear has to be removed. The cartilaginous lobe is fastened to the periosteum behind the ear with permanent stitches and the incision is closed up again with very fine dissolving sutures.
The sutures holding the ear in shape are finally removed after two weeks.
Following the operation, a head bandage is applied for one day.
Subsequently, a head band must be worn over the ears for 14 days. In the first three months after the surgery the ears should be protected from the sun, and from the cold in winter. No further measures are necessary.
Due to the wearing of earrings, changes to the earlobe are not uncommon nowadays. These usually involve an earlobe piercing that is too large or a torn earlobe. This type of change can be remedied by suturing the earlobe and incorporating a Z-plasty to strengthen the tissue.
As earlobes increase in size with increasing age, the number of patients contemplating earlobe reduction is growing.
This development, which troubles some people, can be remedied by means of a minor surgical procedure under local anaesthetic.