Can I have multiple revisions as a year after revision my ears have barely changed? (Photos)

Question

I had otoplasty in november 22, by 3 months I spoke with my parents and wife as I felt they hadn't changed at all, they all agreed and mentioned they'd all spoken about it but didn't say anything as to not upset me, so I requested a meeting with my surgeon, he explained I had "thick cartilage" but said he would do a revision for me and so in March (4 months later) I got a revision. I've waited a year and they still look like they've barely changed, will he do another?

Eric M. Joseph, MD · Answer

The good news is that you do have an improved appearance after your Otoplasty. It is true that some men have thick ear cartilage that can limit results. Since an examination would be necessary, a second opinion from another reputable facial plastic surgeon might be helpful for you. Moving forward. Thank you for your question. Sincerely, Dr. Joseph.

Leila Kasrai, MD, FRCSC · Answer

You can certainly bring it to the attention of your surgeon, as it does seem that your ear still protrudes despite the two surgeries.

Gary M. Horndeski, MD · Answer

Yes, it is possible to do another revision.  Your anti-helical fold needs to be revised to create a flatter appearance to your ear.

Best Wishes,

Gary Horndeski, M.D.

Jeethendra Rao, MBChB, FRCS(OMFS), MFDS · Answer

It is hard to tell the if there has been any change or not as the lighting is different between the 2 photos and alignment. Both these can make the ear look more prominent. A before any surgery photo would have been helpful. It can be seen that the before photo shows no shadow in the scapha of the ear, but in the after there is a shadow suggesting that an anti-helical fold has been introduced. The lack of the anti-helical fold is often the issue with prominent ears. Thick cartilage can be weakened to reduce the risk of relapse. Also the use of a different stitch material and ensuring the recovery instructions are undertaken correctly.

Can I have multiple revisions as a year after revision my ears have barely changed? (Photos)

Answers (4)