Can Ear Surgeries Be Revised?

If one ear is pinned back to far you can revise it to make it so it matches with the other side. In terms of the approach to reverse this it would depend on how the pinning was done. If the pinning was largely due to curling of the antihelix then you may need to release the curl and the scarring that is maintaining that will need to be released.
Additional sutures may be needed to recreate or set the curl to the desired amount. If the excessive pinning is due to the conchal setback then you may need to release the setback suture and possibly add some tissue to give it some support in the more lateral position.
If the setback is due to cartilage excision, you may need some cartilage grafts to reconstruct the concha in the more lateral position that is more desirable. Some of the tissue that could be needed is cartilage that can be used to lift the ear at its base to help lateralize the ear. This is a technique that is used in microtia or ears that are severly malformed.

Occasionally, patients who undergo
otoplasty require secondary revisional surgery.  This type of surgery can be performed when residual
deformities are present but can be difficult. Post-surgical changes and scarring
can contribute to this difficulty.

When the ears are too close to the
side of the head, revision can be accomplished by releasing structural sutures
and scarring.  In most cases
symmetry can be accomplished with this approach. Occasionally a bilateral
procedure may be necessary to obtain symmetry.  This might involve bringing the opposite ear closer to the head with additional structural sutures.

It’s important to discuss these
issues with your plastic surgeon. 
After a physical exam your surgeon should be able to formulate an
appropriate treatment plan for your asymmetry.

An otoplasty can be revised to correct asymmetry or under correction but it is advisable to wait for the residual swellng to go down before anticipating the need for such surgery. A revision can be performed under local anesthesia in the office.