Otoplasty Brisbane

Otoplasty addresses prominent ears that are of normal shape as well as ears that have developed abnormally.

Why consider an Otoplasty? | Otoplasty surgery consultation | Otoplasty surgery | Recovery period | Book Consultation

NorthEast Plastic Surgery, has changed the layout of the educational information about this
procedure to outline the risk and recovery information at the top of the page in order to be
compliant with the advertising guidelines of the Australian Health Practitioner Regulation Agency
(Ahpra).

As we appreciate that this may impact your understanding, the surgeons will answer any related
questions at your consultation.

Risks

All operations carry risks and whilst they are uncommon, it’s important to be aware of them. Risks associated with otoplasty include problem scarring such as keloid or hypertrophic scar formation, wound complications including infection, wound breakdown or haematoma formation (bleeding) which may result in chondritis (inflammation of the ear cartilage) and subsequent deformity of the cartilage in addition to the risk of further surgery to address these potential complications.

Risks specific to otoplasty which improve over 18 months to two years include swelling and redness of the skin and numbness of ears. The specific risks which may require revisional surgery include asymmetry and recurrent or residual deformity. Revisional surgery is necessary in approximately five percent of patients who undergo otoplasty surgery.

Recovery Period

It is important that access to medical attention is available by telephone once you have been discharged. Issues about which your surgeon needs to be made aware urgently include pain uncontrolled by medication, bleeding to the extent that the dressings soak through with blood, temperatures exceeding 38 degrees Celsius, redness of the skin, swelling or any concerns related to the surgery.

Following monitoring in the recovery room, patients are discharged to the care of a responsible adult for 24 hours or following overnight admission to hospital. You will be given pain medication and antibiotics and it is important that you take them to minimise discomfort and potential wound complications. Your head bandage will be left in place until review one week after surgery.

To minimise post-operative bruising, we recommend elevation of the head be maintained with pillows for seven days. In general, swelling and bruising increase over the first three to five days and improve between five to 10 days. In some instances, it may take several months for the soft tissue swelling to subside completely. During this period the sensation of the ears may be affected but will return to normal over a few months.

Resumptions of physical activity such as walking for exercise can commence two weeks after surgery, progressing to running at six weeks and normal exercise including swimming at eight weeks. It is important to avoid ear trauma from being knocked or hit accidentally for six weeks after surgery. Return to school or work can be anticipated after two to three weeks.

The final result of otoplasty surgery may not appreciated for many months. The scars may be prominent for up to 18 months after surgery and can be unpredictable, being prone to problem scarring such as hypertrophic and keloid scar formation. Instructions on swelling and scar management strategies such as massage, taping and silicone gel sheeting will be provided during post-operative consultations. The aim of such strategies is to optimise the resolution of soft tissue swelling and thickness of scarring to achieve the best possible result.

Why Consider Otoplasty Surgery?

Patients seek otoplasty surgery to manage the shape and projection of their ears, or prominent ears including developmental conditions.

Otoplasty Surgery Consultation

The decision to undergo otoplasty surgery is significant and adjustment to change in appearance needs be considered in addition to the process of post- operative recovery. This is why we begin the process with a private consultation with one of our experienced surgeons.

The aim of the consultation is to ascertain the patient’s (and in some cases, the patient’s parents) expectations. As the procedure is commonly considered in childhood it is important parents are made aware of any potential limitations in achieving those outcomes as well as any potential risks associated with the surgery.

Limitations include the shape of the cartilage structure and developmental conditions of the ear which may also need to be addressed. Otoplasty is best considered and performed in patients who are over the age of eight and can demonstrate the appropriate degree of maturity to comply with the aftercare process. Your surgeon will discuss these issues with you during your consultation.

It’s important your surgeon is made aware of any relevant medical history during your consultation. This includes tendency towards bleeding and bruising and any regular medications taken, as well as allergies and any psychological issues.

Pre-operative Management

Your surgeon may deem it necessary to pursue further medical assessment, including blood tests, in order to fully determine your suitability for surgery. Your surgeon will advise you on which medications and activities will need to be stopped leading up to and following surgery.

It may be necessary to temporarily discontinue use of medications such as the oral contraceptive pill, aspirin, as well as certain herbal supplements such as fish oil. It is crucial to cease smoking six weeks prior to and following surgery and to discontinue use of any nicotine-containing products two weeks before and after surgery.

Cost

There is a cost for an initial consultation at our Brisbane clinic, with the potential to receive a portion of this back via Medicare where eligible for rebate, provided you have a referral from your GP. You can call our Brisbane office on 07 3180 3400 to enquire about the surgery quotation process before your initial consultation.

In accordance with the guidelines for advertising of regulated health services by the Australian Medical Board, we do not advertise set prices for our procedures on our website. Following consultation, you will receive a personalised quotation for your surgery. You can book an appointment via our website or call 07 3180 3400.

Second Opinion

Mr Patrick Tansley MD FRCS (Plast) and Dr Sugitha Seneviratne FRACS (Plast) provide second opinion consultations to patients seeking to address problems following Otoplasty surgery performed elsewhere including revisional or corrective surgery. If you would like a second opinion on previously undertaken surgery, book a consultation to discuss this with one or both of our surgeons.