Otoplasty Revision Procedure? (photo)

I had an Otoplasty 1year ago & the surgeon overcorrected my ears by removing too much cartilage. He says he can correct them (but seems reluctant to). I've heard of corrections where a cartilage graft is taken from the rib but he says he would only take a graft from the inside of my nose. He said there would be no change to my nose, but hasn't done this procedure before & it might result in an abnormality of my ear. Do you think this would work & do you think this would affect my nose/breathing?

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6 Doctor Answers | Asked by Al2266 in London

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Septal Graft for Ear Pinning Revision

Septal harvest to obtain a graft should not cause breathing problems if done appropriately. The cartilage could be used to prop the ear up. Kenneth Hughes, MD ear pinning Los Angeles, Ca

Reversing over-correction of prominent ears

Hi Though otoplasty (correction of prominent ears) is a common and relatively easy procedure, reversing over-correction is slightly more complex. Cartilage can be taken from the ribs or from the septum of nose, but can be taken more readily from the ear itself, without disturbing the shape of the ear. In general, it may be prudent to look for a surgeon who is experienced and confident in performing a procedure, particularly for a slightly complex problem. more

Anindya Lahiri, MBBS

4 reviews

Birmingham Plastic Surgeon

Otoplasty Revision: A Customized Approach

Thank you for your question, and I understand your concerns. To correct an otoplasty which has been overdone, one must closely evaluate each portion of the ear. If the upper third of the ear has been overtreated, often release of internal sutures can give improvement. If conchal cartilage has been removed making the central third of the ear overcorrected, release of scar tissue and placement of a cartilage graft makes sense. The nasal septum can be a good... more

Revisions of otoplasty is complicated.

If overresection of cartilage is the reason for your aesthetic problem, the correction will be difficult. I can see why your surgeon is reluctant to proceed.

Cartilage Harvest For Otoplasty Overcorrection Release Surgery

To partially reverse an otoplasty that has been overcorrected (too great of an antihelical bend), it is necessary to release and graft it to hold out the correction. In my experience, the concha of the ear usually offers enough graft to act as spring when placed between the released cartilage fold for one area of overcorrection. If it is more than just one area of the antihelix, more grafting material may be needed such as the septum or even the rib if it is the entire ear length. The... more

Otoplasty revision

Dear AI2266 Sorry to hear you are unhappy with your ears after otoplasty A revision of your ears will need to be adapted to account for: How far out you would like the ears (projection) the shape of the ear as seen from the side the potential for irregular scarring Since none of your photos show the ear from the side, its hard to judge what would be most helpful. Lastly, taking septal cartilage from the nose is a tried and... more