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The sutures that stitch your ear backwards, and bend the cartilage into its new shape are the sole strength holding the ear in place for approximately the first three weeks. Afterward, the healing beneath your ear skin become stronger and stronger such that at approximately two months you should consider yourself healed and can resume doing every activity you wish without ear protection.
It is considered acceptable to have 2 mm of change in the distance of the top of your ear from your head after one year postoperative following otoplasty surgery. Thankfully, we have not seen any significant change in the position of the ear, following Otoplasty surgery after 25 years in practice. I believe the key is proper placement of suture, and utilizing the right number of sutures. When somebody needs a conchal setback, and Mustarde suture to re-create an anti-fold, we use at least six sutures. We prefer clear nylon suture for this technique. I hope this helps! Sincerely, Dr. Joseph.