Otoplasty

Otoplasty, Facial Implants and Other Facial Contouring Procedures
“Don’t hide your ears with long hair or worry about a weak chin”

Otoplasty, or surgery to reshape the ears, is a common plastic surgery procedure. Otoplasty can reduce the size of your ears and reduce the protrusion of the ears or change the shape of abnormally shaped ear cartilage. For children with protruding ears, the surgery can be performed after about age 6 or 7, when the ear has obtained most of its growth.  Many times adults who have been embarrassed by their ears all through childhood have the procedure performed.

Facial Implants

Facial implants can be placed surgically for areas of the face which do not have enough volume or projection.  Placement of chin implants is a fairly common procedure, either performed alone or with a rhinoplasty, neck or facelift, or neck liposuction.  Cheek and other facial implants are also available for implantation, depending on the area of concern.

Otoplasty Basics

Procedure:
Reshape ears by reducing size, contour or projection of ears.  Sometimes just one ear is affected.

Length:
2 hours or more.

Anesthesia:
Usually general anesthesia..

In/Outpatient:
Usually outpatient.

Side Effects:
Temporary swelling, bruising, numbness and soreness.  The ears may appear still protruding during the swelling stage.

Risks:
Infection. Post-operative bleeding which could require return to surgery.  Incomplete improvement, requiring additional surgery.

Recovery:

Back to school or work:
one to 2 weeks.

More strenuous activities:
2 to 6 weeks.

Avoid hitting ears or sunburn:
8 weeks.

Final appearance:
6 months to 1 year.

Duration of Results:
Permanent

Facial Implant Basics

Procedure:
Placement of soft, usually silicone, facial implants in chin area, cheek area or along jawline.

Length:
1 to 2 hours or more.

Anesthesia:
Usually general anesthesia..

In/Outpatient:
Usually outpatient.

Side Effects:
Temporary swelling, bruising, numbness and soreness.

Risks:
Infection. Post-operative bleeding which could require return to surgery.  Malposition of implant.  Rare erosion of implant into bone.

Recovery:

Back to school or work:
one to 2 weeks.

More strenuous activities:
2 to 6 weeks.

Avoid hitting implanted area:
8 weeks.

Final appearance:
1 to 3 months..

Duration of Results:
Permanent

Consultation & Preparation

In your initial consultation, Dr. Guy will ask what you’d like your recontouring areas to look like, evaluate the structure of your face, and discuss the possibilities with you. She will also explain the factors that can influence the procedure and the results. These factors include the structure of your bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.
Dr. Guy will also explain the techniques and anesthesia she will use, the type of facility where the surgery will be performed, the risks and costs involved, and any options you may have. Be sure to tell Dr. Guy if you’ve had any previous facial surgery or an injuries, even if it was many years ago. You should also inform Dr. Guy if you have any allergies, if you’re taking any medications, vitamins, or recreational drugs, and if you smoke.

Dr. Guy will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, quitting smoking, taking or avoiding certain vitamins and medications, and washing your face. Carefully following these instructions will help your surgery go more smoothly.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a day or more after surgery.

Dr. Guy usually prefers general anesthesia for otoplasty surgery and for facial implants, although a chin implant can be placed under local anesthesia with sedation.

The Plastic Surgery

These contouring procedures usually take an hour or two, though complicated procedures may take longer.  The total time in surgery will be one or two hours longer because of anesthesia preparation and recovery.  Otoplasty incisions are hidden in the sulcus behind the ear and facial implants are often placed through the mucosa in the mouth or sometimes, with a chin implant, in the chin crease.  When the surgery is complete, a light compressive dressing will be applied.

Recovery & Results

Dr. Guy will usually leave the dressings in place for a few days for both otoplasties or facial implants, in order to give some time to stabilize the new shape.  Sutures may be dissolvable or may need to be removed in 5 to 14 days.  Dr. Guy will give you more specific guidelines for gradually resuming your normal activities. They’re likely to include these suggestions: Avoid strenuous activity (jogging, swimming, bending, sexual relations-any activity that increases your blood pressure) for two to three weeks. Avoid hitting or rubbing your contoured areas for eight weeks. Be gentle when washing your face and hair or using cosmetics.
Be sure to look at our before and after photos in our website photo gallery.