|Procedure||Cost||Stay in Tunis|
|Otoplasty||£1,500||4 nights / 5 days|
Otoplasty is a cosmetic or restorative surgery to pin back prominent ears, but also to correct other ear deformities. Although this surgery can be performed in adulthood, patients can undergo otoplasty as early as age 7. This procedure is used to reshape both ears, but can also be done on just one side.
Otoplasty corrects cartilage abnormalities of the pinna (external ear) that cause ears to ”protrude”. There are 3 types of deformities somewhat related to each other:
- An angle between the pinna and the head that is too large (hypertrophy of the concha of the auricle) causes real protrusion;
- A too large concha projecting ears too far forward (cup ears);
- The absence of the natural cartilage folds and ridges (defect of the antihelix or shell ears) which give the auricle an unfolded shape. This procedure corrects these anomalies by reshaping the cartilage to obtain symmetrical detached ears of natural size and appearance.
Before your surgery
– A routine preoperative assessment is carried out as prescribed.
– The anaesthesiologist will be seen in consultation no later than 24 hours before the operation.
– Avoid taking medications containing aspirin within 10 days prior to your surgery.
– Stop smoking at least one month prior to surgery and until the incision has healed (usually 15 days following the procedure).
Day of Surgery
The procedure lasts between 1 and 1.5 hours, and is performed under local or general anaesthesia in young children. This surgery is usually performed on an outpatient basis.
Skin incisions: the incisions are located in the post auricular fold, i.e., the fold behind the ear, or on the posterior surface of the ear. In some cases, small additional incisions will be made on the anterior aspect of the pinna, camouflaged in the natural folds.
Dissection: Skin is then removed to reach the cartilage, if needed.
Cartilage reshaping: The idea is to recreate or improve the natural folds with cartilage reshaping or folding, held in place with fine deep sutures. Sometimes, some degree of removal or scoring of the cartilage is necessary. Finally, the pinna is tailored with stiches to the head to create a pleasing ear shape.
Sutures: Otoplasty is usually done with absorbable sutures.
Bandage: A bandage (elastic band) is put around the head to hold the ears securely in place.
After your surgery
– Moderate pain is normal after otoplasty. Take pain relievers or anti-inflammatory drugs to reduce discomfort.
– Right after your surgery, your head will be wrapped in a bulky dressing for 24 hours. This dressing will be replaced with a compressing headband that you will need to wear day and night for the first 2 weeks, then only at night for one more week.
– The ears will often look much closer to the surface of the head for the first few days following surgery; this is completely normal and does not constitute an overcorrection. The ears will settle into their final position a few weeks after surgery.
– Swelling of the ears after the operation is normal. Bruising may also occur. Postoperative bruising and swelling usually subsides after a few weeks.
Disclaimer: Results may vary from one person to another depending on the patient’s body shape.