Otoplasty

The ideal ears adapt themselves harmoniously and unobtrusively to the proportions of the face. Standing apart ears show the eye-catcher of her owners and can lead to an ear complex.

Generally unsightly ears, also hump formations, the cups or bowl ear, standing apart earlobes and standing apart ears affect all together not the physical, but, above all, the mental health negatively. The operational correction can lift the quality of life clearly and avoid mental false developments.
The planning of a correction must take into consideration the whole harmony of the face and the personal images of the patient should be also incorporated. The distance of the auricle amounts to about 18 mms of the head according to measuring point.

Surgery

The patient may suffer at the time of the operations of no Acute ear infection! An infection could affect fatally the operation and the healing course. With protruding ears a little piece of cartilages is removed by a small cut behind the ear. The remaining cartilage is polished and modeled by small incisions in the ear in the desired enclosed form. Pain-lowering and fever-lowering means with Acetylsalicyl acid (ATE, e.g., aspirin ®) disturb the blood coagulation and may not be taken, therefore, two weeks before the operation any more. Ask please your doctor for alternatives if you depend on it.
Inform the surgeon and the anaesthetist please exactly about your other drugs. A rearrangement of your medication is possibly advisable. Smoking clearly disturbs the healing. Stop, hence (also to smoking youngsters directed!) two weeks before the operation with it. An acute infection increases the anaesthesia and operation risk so strongly that he excludes an auricle plastic. Avoid possibly an infection before the intervention, so that you must not call off the appointment. For the operation you come please soberly, even if you are operated in local anaesthesia.

Operation technics

The cut-suture technic permits the best specific cartilage forming and, hence, is preferred. Cut and suture force together the cartilage in a new form.

Many surgeons prefer the combination of cut and suture technic to be able to use the advantages of the single procedures possibly without their disadvantages. Also here the skin cut lies behind the ear. On the cartilage which was separated from the skin the surgeon marks the newly formed fold by superficial scratches or needle stings. Besides the deepening of the ear cartilage (Cavum conchae) must be often reduced by cutting out a soft bone. The interfaces in the cartilage are caught with a suture. The new fold forms by suitable pulling in the sutures. Finally the skin wound is closed by sequential suture in the skin again.

Other OP technics are an ear correction by biomechanical cartilage reshaping and ear correction by suture technics. The application of an one or other technics lies in the decisive area of the surgeon and is discussed with the patient in Ahead! Biomechanical technics force the cartilage not by sutures in a new form, but change the cartilage structure in such a way that the ear scaffolding lies down 'by itself' in a more favorable form. Sutures serve here only for the fixation, until the healing is closed. The fact that the cartilage tangles, it is reached here by changing its  elastic plasticity. For this the skin is separated in the ear front from the cartilage and the cartilage above a big{great} surface is scratched. If he is weakened thus on the ear front, he bends back - the ear tangles. With suture technics the risk of a healing disturbance or unsightly crease formings is lower than by operation technics of cuts.
However, the cartilage stands under tension. If the ear cartilage is relatively soft, can be renounced in some cases cutting the cartilage. Exclusively with sutures the surgeon puts  on the ear. Mostly the cartilage is thined out, in addition, through grinding and is thereby made more pliable. Behind the ear a cut is put on and the skin is separated from here from the cartilage which is thined out as a rule by loops to become ductile enough. Now sutures are put crosswise to the skin cut by the ear cartilage and are tightened (graphic). The knots lie inside. The skin cut is closed with a so-called intracutan suture running in the skin and a pressure-exercising cotton bandage is put on which remains lying with adults about 2, with children to 10 days. The intervention becomes usually outpatiently, however can be also carried out in general anaesthetic. After the operation it is necessary for 8 days to carry a dressing. Also this intervention can be carried out outpatiently.

Post operational recommendations

-You're unpatient to look at the 'new' ears? Please, wait, until the dressing may be officially taken. The aftercare is almost as important for the later result as the operation itself.
- Limit the smoking or finish it
- Do not try to remove the dressing earlier
- Leave the small crusts
- Do not lie with the head down, but on two upholsterers
- Take no aspirin two weeks before and three weeks after the intervention.
- Make to yourselves no worries with hearing trouble for a short time
- Make no immense sport
- 2 months of solar suspension avoid

After the operation you turn immediately to Swissdent Medical Center, Sopron, if you need something or are worried! The social activity is already possible 5 days after the operation.

Costs

Otoplasty double-sided: 740.- Euro plus auxiliary costs 100.-€