Is incisionless otoplasty better than the traditional open method? Is there less risk with incisionless otoplasty and how do the results compare? Also, why don't more plastic surgeons perform incisionless otoplasty?
Answer: Incisionless Otoplasty
Incisionless otoplasty is a great method of reshaping prominent ears. It is not the method of choice in all patients, but I tend to use it in a majority of patients with excellent and long lasting results. Otoplasty has been divided in the past into cartilage cutting or scoring techniques or into molding techniques. The latter involves the placement of permanent stitches to mold the cartilage of the ear into the desired shape and set back the ear against the skull. The incisionless technique uses this principle, but instead of making an incision and maybe excising skin behind the ear the stitches are placed through the skin and buried along the way. This allows a beautiul recontouring of the ear cartilage without the scar and the risks that this carries. Some ears require much more reshaping and an open technique may be desirable. In many cases I am able to combine an incisionless procedure with a small incision to access areas that are not amenable to this technique.
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Incisionless otoplasty is a great method of reshaping prominent ears. It is not the method of choice in all patients, but I tend to use it in a majority of patients with excellent and long lasting results. Otoplasty has been divided in the past into cartilage cutting or scoring techniques or into molding techniques. The latter involves the placement of permanent stitches to mold the cartilage of the ear into the desired shape and set back the ear against the skull. The incisionless technique uses this principle, but instead of making an incision and maybe excising skin behind the ear the stitches are placed through the skin and buried along the way. This allows a beautiul recontouring of the ear cartilage without the scar and the risks that this carries. Some ears require much more reshaping and an open technique may be desirable. In many cases I am able to combine an incisionless procedure with a small incision to access areas that are not amenable to this technique.
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CONTACT NOW Answer: Incisionless otoplasty Most surgeons who perform otoplasty employ the more traditional techniques, amongst which toe cartilage sparing method with permanent suture fixation is the most popular one. The most common reasons when a technique is more popular among surgeons in any type of plastic surgery include reliability and reporoducibility and lower risk of complications. In case of the otoplasty discussion I think all apply. But, that is just one surgeon's opinion with full respect for others perspective and experiences.
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CONTACT NOW Answer: Incisionless otoplasty Most surgeons who perform otoplasty employ the more traditional techniques, amongst which toe cartilage sparing method with permanent suture fixation is the most popular one. The most common reasons when a technique is more popular among surgeons in any type of plastic surgery include reliability and reporoducibility and lower risk of complications. In case of the otoplasty discussion I think all apply. But, that is just one surgeon's opinion with full respect for others perspective and experiences.
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April 24, 2018
Answer: Incisionless vs Traditional Otoplasty There are many different techniques to re-shape and re-position the ears. "Incisionless" Otoplasty is not truly incisionless and does require penetrating through the skin in order to get the sutures beneath the skin. Virtually all Otoplasty techniques are going to involved the same risks, including bleeding, scarring, infection, need for revision surgery, dissatisfaction with the results, etc. Keep in mind that these "less invasive" techniques are only reserved for certain patients, and I find that almost all patients need some element of setting the entire ear back in addition to molding and shaping the cartilage with suture in order to obtain optimal results. Best,
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Answer: Incisionless vs Traditional Otoplasty There are many different techniques to re-shape and re-position the ears. "Incisionless" Otoplasty is not truly incisionless and does require penetrating through the skin in order to get the sutures beneath the skin. Virtually all Otoplasty techniques are going to involved the same risks, including bleeding, scarring, infection, need for revision surgery, dissatisfaction with the results, etc. Keep in mind that these "less invasive" techniques are only reserved for certain patients, and I find that almost all patients need some element of setting the entire ear back in addition to molding and shaping the cartilage with suture in order to obtain optimal results. Best,
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November 20, 2017
Answer: Otoplasty approaches Hi and thank you for this great question. Personally, I prefer the traditional method because in my opinion it is more precise and allows the surgeon more flexibility and exposure to achieve a more symmetric and long-standing result. The incision utilized is behind the ear (concealed) and typically heals very well, so not much of a detriment compared to the incisionless technique. There can be some additional swelling/bruising associated with the traditional method, but in my opinion, very manageable. Hope that helped! Best, Dr. Roy.
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Answer: Otoplasty approaches Hi and thank you for this great question. Personally, I prefer the traditional method because in my opinion it is more precise and allows the surgeon more flexibility and exposure to achieve a more symmetric and long-standing result. The incision utilized is behind the ear (concealed) and typically heals very well, so not much of a detriment compared to the incisionless technique. There can be some additional swelling/bruising associated with the traditional method, but in my opinion, very manageable. Hope that helped! Best, Dr. Roy.
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August 18, 2015
Answer: Incisionless Otoplasty Incisionless otoplasty involves placing sutures in the ear to create a new anti-helical fold, or enhance and existing fold. The advantages are that there are no incisions/very small incisions. The disadvantages are that there are limitations to the results that can be achieved and the longevity of the results. The most important thing is patient selection. Overall, the incisions from otoplasty, behind the ear, heal incredibly well. It is hard to see the incision because of the location and they end up healing VERY well in the vast majority of people. Focusing on achieving the best possible results, in my view, is the most important thing.
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Answer: Incisionless Otoplasty Incisionless otoplasty involves placing sutures in the ear to create a new anti-helical fold, or enhance and existing fold. The advantages are that there are no incisions/very small incisions. The disadvantages are that there are limitations to the results that can be achieved and the longevity of the results. The most important thing is patient selection. Overall, the incisions from otoplasty, behind the ear, heal incredibly well. It is hard to see the incision because of the location and they end up healing VERY well in the vast majority of people. Focusing on achieving the best possible results, in my view, is the most important thing.
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April 14, 2014
Answer: Setback Otoplasty Setback otoplasty is performed through a relatively small incision on the back of the ear. This incision allows precise placement of structural sutures which optimizes the contour of the ear. These incisions heal nicely and are well hidden behind the ear. It’s unusual for patients to complain about scarring once the wounds have healed. For this reason, incisionless otoplasty doesn’t seem to offer a major advantage over traditional otoplasty. In addition this approach might compromise the final contour of the ear. As a result, the majority of plastic surgeons prefer a traditional technique.
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Answer: Setback Otoplasty Setback otoplasty is performed through a relatively small incision on the back of the ear. This incision allows precise placement of structural sutures which optimizes the contour of the ear. These incisions heal nicely and are well hidden behind the ear. It’s unusual for patients to complain about scarring once the wounds have healed. For this reason, incisionless otoplasty doesn’t seem to offer a major advantage over traditional otoplasty. In addition this approach might compromise the final contour of the ear. As a result, the majority of plastic surgeons prefer a traditional technique.
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