Otoplasty Rebound - is This Proceedure Normal to Hold the Tips Back?

I agree with the other experts, don't sell yourself short by trying to get by with a lesser procedure.  Revision with internal sutures is the right choice.

Dr. ES

can certainly occur but I can't say its very common that far down the road of recovery.  Photos would certainly help ascertain just how much loss of fold you have had but assuming complete loss has occurred as you describe, I would think you would need it redone as the internals sutures are integral at holding the ear where you want it.

Recurrence of all or part of the prominent ear shape after an otoplasty usually means one or more of the internal stitches broke. It happens.  It's typically pretty straightforward to go back and replace the stitches.  The stitches are usually made of a non-dissolving material because it takes cartilage a long time to heal into its new shape.  External dissolvable stitches is not something I've done.

Do it right, and redo the surgery, by internal sutures.........................................................