Ear correction – otoplasty / otopexy

Ear correction, also known medically as Ear surgery or Otopexy is a common procedure in plastic surgery. The aim is to improve the shape, size or position of the auricle so that the ear blends harmoniously with the face. This is particularly common in cases of protruding ears (often colloquially referred to as Protruding ears (known as ‘protruding ears’), where the cartilage of the auricle is shaped in such a way that the ears stick out noticeably from the head (often defined as an angle of more than 30 degrees), this procedure can improve the external appearance and often reduce the associated psychological distress. During the operation, the ears are surgically repositioned to the desired position.

What is ear correction (otoplasty/otopexy)?

Ear correction is a surgical procedure designed to correct malpositions of the outer ear. The most common indication is the correction of protruding ears. This is usually caused by an underdeveloped main cartilage fold of the ear (anthelix) or an excessively large portion of the ear cartilage (concha). In addition to protruding ears, otoplasty can also correct asymmetries, ears that are too large or deformed earlobes.

Who is ear correction suitable for?

Ear correction surgery can be carried out on both children and adults.

• Ear pinning for children: Children in particular often suffer from teasing at school because of protruding ears. It is often recommended that the ears be corrected before the child starts school, at the age of 5 to 6. At this stage, the ear cartilage is still easily mouldable and the ear is largely fully grown.
• Ear correction in adults: Many adults opt for ear correction surgery to improve the aesthetic appearance of their ears and boost their self-confidence.

The ear correction procedure: from the consultation to the operation

Before any ear surgery, you will have a comprehensive consultation about the procedure with a qualified specialist in plastic and aesthetic surgery. You can book an appointment here to discuss your requirements.

• Anaesthesia: The procedure can usually be carried out on an outpatient basis. It is often performed under local anaesthetic, frequently combined with twilight sedation (local anaesthetic with twilight sedation). General anaesthesia is also an option for children or on specific request.
• Surgical techniques: There are various techniques, including the suture method. The most common method involves making a small incision at the back of the auricle or behind the ear. From there, the surgeon exposes the ear cartilage. The cartilage is then reshaped – by thinning, scoring or moulding – and secured in its new position using fine sutures. The aim is to achieve a natural appearance.
• Duration of the procedure: Ear correction surgery on both ears takes about one to two hours. A single procedure takes about one hour.

Possible complications and risks associated with the procedure

Although ear correction is considered a low-risk procedure, as with any surgery, there are general and specific risks. General risks include post-operative bleeding, infections or impaired wound healing. Specific complications may include slight asymmetry, an unsatisfactory result or sensory disturbances in the ear. You should avoid smoking before the procedure so as not to compromise wound healing.

Choosing an experienced surgeon and ensuring careful aftercare are crucial to minimising the risks associated with ear correction.

Aftercare: Recovery and wearing a headband

A protective head dressing is applied immediately after the otoplasty.

Headband and forehead band: This initial dressing will be removed within a few days. After that, it is very important to wear a headband. The headband must be worn day and night for about a week, and then at night for a further five weeks or three to four weeks (often totalling up to six weeks) to protect the ears.

Social and occupational functioning: Most patients are able to return to work and resume their social lives after about a week.

Sport and leisure: You should avoid exercise for around four weeks, and contact sports for up to six weeks after the operation. It is also advisable to wait until the wound has fully healed before wearing earrings.

The cost of ear correction surgery and insurance to cover follow-up costs

The cost of the procedure can vary. Factors include the extent of the correction, the method used and the type of anaesthesia.

• Coverage of costs: For children experiencing significant psychological distress due to protruding ears, the costs may sometimes be covered by health insurance. For adults, this is usually a service that must be paid for out of pocket.
• Insurance against consequential costs: Complications following cosmetic ear surgery may require medically necessary follow-up treatment, the costs of which are not always covered by standard health insurance. To protect yourself against these unforeseen financial burdens, it is advisable to take out a special Consequential Costs Insurance Highly recommended before the procedure. This can cover the costs of any necessary treatment following a complication.

Frequently Asked Questions about Ear Correction