What is the Maximum Reduction an Otoplasty Can Do? Can It Reduce the Thickness of the Ears?
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Otoplasty or Ear Pinning
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Amount of change possible with otoplasty
The otoplasty procedure involves tucking the ears backwards into the head, usually so that the rim of the auricle is approximately 1.5 to 1.8 cm from the back of the post-auricular scalp. Obviously they have to be overcorrected at first because they will stick slightly outwards as they heal.
Degree of correction with otoplasty
This is an interesting question.
Otoplasty is a vague term meaning re-shaping of the ears. There are many types of problems with ears people ask for help with. The common one is a prominent ear (commonly called a 'bat ear'), where the goal is to set back the ear to make it appear natural. It is possible to correct/improve quite severe deformities by a number of different techniques.
If you are referring to a thick and deformed ear as seen in some boxers (commonly called 'cauliflower ear'), it is possible to thin and sculpt, to some extent, the thickened cartilage.
If you are looking for a more specific answer, some photographs will be helpful.
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Otoplasty Can Give Significant Reduction in Ear Prominence
Otoplasty refers to changing the shape of the ears. Usually, patients ask me to make their ears less prominent or "stick out less". We can do this by shaping the ears with permanent sutures, setting back the ears, and in some cases, removing excess cartilage. We can make earlobes smaller, thinner, and less prominent. In specialized cases, we can make the cartilagenous portion of the ear smaller as well.
It is not uncommon for me to reduce ear prominence by over one centimeter. Some good examples can be seen on my practice website. I hope this helps!
A photograph would have been of great assistance? There are two common conditions noted in prominent ears. The first is a lack of the Fossa Triangularis on the upper part of the ear. The second is a prominent Chonchal Bowl or cup of the ear. Recreation of the fold of the ear or Fossa pins the ear back and folds it into a more acceptable appearance. A patient can still have prominent ears because of a prominent Chonchal Bowl. This is normally reduced at the time of an otoplasty with removal of excessive skin behind the ear to produce a balanced appearance. For men they often like the ear to fold around the head so, the overall appearance of the head does not look so, wide because of their prominent ears. Best,
Gary R Culbertson, MD, FACS
Otoplasty reduction amount
Otoplasty typically involves bringing an ear that is perceived as overly far from the side of the head closer to the head. The upper portion of the ear is typically treated by increasing the amount of folding of the cartilage by using a suture technique. The middle third of the ear is typically adressed by manipulating the conchal bowl (the cup shaped part of the ear). The goal of the procedure should be a balanced appearance.
Otoplasty Reducing Thickness
I would have to see the deformity to which you refer, but there are a tremendous number of options that can reduce the size of the ears.
Otoplasty Reshapes The Ear Not Reduces Its Size
It is unclear from your otoplasty question as to what you mean by 'maximum reduction' since this implies the size of the ear and not the shape of it. Similarly the question about thickness implies size concerns. You will need to post pictures and better define your questions to be more helpful.
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