the surgeon had put in dissolving stitches the first time. He re-did the procedure about 8 months later and used permanent stitches. He did not remove any cartilage either time. The ears are slipping back towards original appearance, at the tops, in the last couple months. The left ear is back out where it was at the top before surgery. Right ear has slipped out about 1/16 inch. left ear cartilage is much stiffer than right ear. What should i do? this was and is important to me
I Had an Otoplasty in Nov 2011, Completely Failed, Reversed to Original Appearance Within 3 Months?
Doctor Answers (4)
Cartilage Modification in Revisional Otoplasty
Otoplasty relapse is either due to suture loosening or too much cartilage stiffness. Given that the suture issue has been addressed, further and more stable improvement is going to come from weakening the natural stiffness of the cartilage to eliminate its recoil potential.
Failed otoplasty, reversed to original appearance within three months
As we age our ear cartilage becomes less pliable and more stiff. Otoplasty in adult patients often protrude with time if sutures alone are used to hold the ears in a less prominent position. This may work for children, but in adult ears, some cartilage weakening is necessary to prevent the issue you have experienced.
Otoplasty revision for upper pole coming out and relapsing
Based on the pictures, I think your surgeon did a good job. The ear is set back or at a position that is close to ideal. If you get them pinned back more they will be too pinned back in my opinion. But you are the person that should be happy. You can get them pinned back more but you should understand that this may not be what people will view and perceive as normal.
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Questions about an otoplasty
Almost impossible to answer this question without a pre-operative photograph. There does appear to be flare of the upper portion of your ear. I would need to examine your pre-op photos to give your any suggestions.