Otoplasty Revision Procedure? (photo)

Otoplasty overcorrection with the removal of too much cartlige and the ears being too close to the Head. This is a difficult problem. I address this in some of my pages on my website regarding a revision of the otoplasty and the over corrected ear. This situation requires extra cartilage to help the ears come out more away from the head. It may also require skin perhaps the hardest part of the whole procedure is actually regarding the lack of skin. In this case,the biggest question is where to get the skin. You can do a skin graft and allow the ear to come away from the head a little bit and then on the second stage you can do the definitive treatment with ear cartilage. But you have to make sure that the skin is doing well enough. Or you can do it all in one stage but you'll have to get a skin graft you'll have to get a bigger part of the muscle above your ear into that area transplanted into the area. There are many options that I have tried and have worked. I cover a case on the Otoplasty Revision in some of the pages on my website. You can also read my chapter on Otoplasty Revision in "Advanced cosmetic otoplasty" published by Springer in 2013

To partially reverse an otoplasty that has been overcorrected (too great of an antihelical bend), it is necessary to release and graft it to hold out the correction. In my experience, the concha of the ear usually offers enough graft to act as spring when placed between the released cartilage fold for one area of overcorrection. If it is more than just one area of the antihelix, more grafting material may be needed such as the septum or even the rib if it is the entire ear length. The success of otoplasty overcorrection surgery is primarily based on having enough cartilage to hold open the released cartilage fold. Based on thw way your easr are pinned back, you would at least need a septal graft. If the cartilage is harveted from the septum, it will not affect your breathing.