Fear This Was a Bad Otoplasty. What Should I Do? (photo)

I read your concerns and reviewed your photos:

First, you're only 1 week post-op, so you will likely see a bit of relaxing of the middle third of your ears over the ensuing year. Without a before photo, it's tough to judge your result, but you do not have outstanding ears, and your result is acceptable so far, in my view.

Hope this helps you.

Dr. Joseph

Ask your doctor about this one, but here are my general thoughts.
Its hard (but possible) to over-correct an otoplasty because the ears tend to resume their native shape with time.
The first week after surgery is a time to look for problems such as infection and bleeding.  Final results will take time.
A revision to an over-correction may just require some local anesthesia and some suture removal.
But see your doctor.  They may have a good reason for choosing the surgical plan they did.

While it is only one week after your otoplasty and the ears have yet to relax yet, your concerns are understandable. I would give it a few weeks to a month after surgery and see how the helical rim relaxes and if it starts to project beyond the profile of the antihelix. It is quite possible that your concerns will be self-correcting.  If it does not, then you should revisit your surgeon, discuss your concerns, and perhaps consider a revision with release of some of the sutures holding the helilx so far back.

You are right in that you do not want the antihelical folds to stick out further than the helix. Your photos do seem to show that your antihelix comes out further than your helix in the upper half of the ear, giving you a slightly unnatural appearance. What you have to realize is that there is almost always some "relaxing" that will occur as you heal. If the upper half of the helix lateralizes by several millimeters your result will be good. This is the hard part, but you need to be patient. Stay in close contact with your surgeon. Let him or her know your concerns. Ask questions at your follow up visits, and importantly, make sure that pictures are taken at all of your visits. By comparing serial photos you may be able to see improvement that you otherwise will not notice on a day to day basis. Best of luck.

First you are only one week post surgery, ther will be changes with time.

You describe what you think is the "perfect" ear measurement and distance from the head. You should have discussed that with your surgeon. I disagree with you on these measurements, but I would respect your input if you understand the differences.

The cause of prominent ears

1: no, or underdeveloped anti-helix

2; Deep concha

3: combination of the above two

4: largr distance from the scalp.

Correction is geared to understanding the factors contributing to the prominent ear and customizing the correction to the physical findigs.

Let's give it six months before we cry wolf.  Sure, asymmetry may be an issue, but your ears have a lot of healing yet to accomplish.