Otoplasty (Ear Surgery)

what is otoplasty ...

Otoplasty is a surgical procedure that changes the way the ears project from the head. Prominent ears are most often due to an underdeveloped antihelical fold, which typically helps position the ear closer to the side of the head.

The decision to undergo Otoplasty is highly individual and depends on personal circumstances. Some patients pursue surgery because they are concerned about the position, size, or shape of their ears. Others may seek the procedure to reduce unwanted attention or teasing during childhood or adolescence. Adults may choose Otoplasty to address long-standing concerns about their ear appearance, helping them feel more at ease when their ears are visible.

Our surgeon’s approach involves a detailed assessment of the ear’s structures, including:

  • The antihelical fold (the ridge of cartilage shaping the ear)
  • The conchal bowl (the hollow of the ear cup)
  • The cephalic/ auriculocephalic angle (the angle of projection from the head)

am I a suitable candidate ...

Otoplasty may be suitable for both children and adults who are concerned about the shape, size, or position of their ears. Our surgeons evaluate each patient individually to determine whether the procedure is appropriate, taking into account anatomy, health status, and personal circumstances.

Children: Otoplasty can be considered from around six years of age, when ear growth is largely complete. Surgery at this age can help reduce the impact of teasing or social attention during early school years. Candidates should be ready for the procedure and able to follow basic postoperative care instructions with support from parents or caregivers.

Adults: There is no upper age limit for Otoplasty. Many adults seek the procedure because they have concerns about prominent ears that have persisted since childhood.

To be considered for Otoplasty, all patients should:

  • Be in good general health, with no conditions that would interfere with healing or increase surgical risk.
  • Have realistic expectations regarding the outcomes of the procedure.
  • Understand the recovery process, including activity restrictions and the potential for temporary swelling or bruising.
  • Understand the potential risks and complications of the procedure.
  • Be able to attend follow-up appointments to monitor healing and results.

Anaesthesia and Duration

Our surgeons perform Otoplasty under either local or general anaesthetic, depending on the patient’s age, preference, and comfort.

The surgery is performed as a day procedure. Meaning an overnight stay is not required, and patients will be able to go home after an observation period following surgery.  The procedure itself typically takes between one and one and a half hours, depending on the complexity of the adjustments required.

Surgical Steps

Skin Preparation: A small section of skin may be removed from behind the ear to allow access to the cartilage so the fold can form without excess skin bunching. (This is not used to hold the ear in place.)

Skin Elevation: Fine instruments are used to lift the skin on the front of the ear in the areas where the fold is required, allowing the cartilage to bend.

Cartilage Modification (Chong-Chet Technique): Your surgeon carefully scores or scratches the surface of the ear cartilage. This controlled weakening allows the antihelical fold to form more easily and provides flexibility in shaping the ear.

Stitch Placement: Three fine nylon stitches are placed behind the cartilage to secure the fold and adjust the ear’s position. These stitches can be adjusted (removed, loosened, or tightened) in the early postoperative period to alter the results, if required.

Closure: The skin is closed over the cartilage, completing the surgical procedure.

Follow-up

Your surgeon will arrange follow-up appointments at one week, one month, and three months after surgery to monitor healing, ear position, and symmetry. Most patients are able to notice changes in the position and shape of their ears by one month, while changes may continue as residual swelling gradually subsides.

Yes, you will require a GP referral. As of 1 July 2023, AHPRA (Australian Health Practitioner Regulation Agency) requires all patients to obtain a referral from a GP (General Practitioner).

Immediate Post-Operative Period

Once patients are discharged from the hospital, they are advised to rest at home and limit physical activity during the first few days.

Mild to moderate pain is to be expected and can generally be managed with over-the-counter or prescribed medications. Patients can also expect swelling and bruising during the initial recovery period, which will dissipate over time.

Patients will have bandages over their ears after surgery, which are typically removed around four days after surgery. At this point, patients will be able to wash their hair carefully.

During the initial recovery period, it is recommended to keep the head elevated, including while sleeping. Patients are also advised to sleep on their backs to avoid pressure on the ears, which may negatively affect the healing process.

Wound Care and Activity Restrictions

Desk-based work or school activities may be possible within a few days after surgery, depending on individual comfort levels. Light daily activities can generally be resumed around one week after the procedure.

Our surgeons typically advise patients to avoid contact sports or any activities that may result in impact to the ears until healing is complete. This is usually around one month after surgery, or until the patient feels that the ears can tolerate knocks without significant discomfort.

Long-Term Healing and Results

The position and shape of the ears usually settle and stabilise within one month. However, it may take three months or more for residual swelling to dissipate and for the final results to be apparent.

Scars are typically concealed in the folds and creases of the ear to reduce visibility and will continue to fade over time.

As with any surgical procedure, an Otoplasty involves potential risks. Your surgeon will discuss potential risks and complications during your consultation as part of the informed consent process. Visit our Risks and Complications page for more information. Risks and complications can include, but are not limited to:

  • Swelling and Bruising: Swelling and bruising around the ears are expected after surgery. This typically decreases over the first few weeks but may persist for several months.
  • Asymmetry: Slight differences between the position or shape of the ears may occur.
  • Nylon Sutures: Nylon stitches are used during the procedure. Occasionally, a suture may poke through the skin and require removal. This usually does not affect the overall outcome of the procedure.
  • Changes in Skin Sensation: Temporary numbness or altered sensation around the ears may occur. This usually resolves over time, but can be persistent in some cases.
  • Infection or Bleeding: As with any surgery, there is a risk of infection or bleeding. Proper wound care and follow-up are important to reduce these risks.
  • Scarring: Scars are placed in the folds and creases of the ear to reduce. While they generally fade over time, scar appearance can vary depending on individual healing factors.
  • Cartilage Relapse: In some cases, the ear cartilage may shift slightly after surgery, potentially altering the initial fold. This is uncommon but may require revision.
  • Standard Anaesthetic Risks: Otoplasty can be performed under local or general anaesthetic. Each carries the usual risks associated with anaesthesia, which our surgeons review with patients before surgery.

The total cost of Otoplasty surgery depends on several factors, including the procedure’s complexity, whether one or both ears are being operated on, the surgery time, as well as the anaesthetist and hospital fees.

After a consultation with your surgeon, you’ll receive a personalised quote that outlines the total expected cost for your procedure.

In some cases, Medicare or private health insurance may provide partial rebates if the procedure meets certain medical criteria.

In some cases, Otoplasty may be eligible for a Medicare item number if it meets medical criteria, such as surgery performed in children under the age of 18 for prominent ears. Private health insurance may also apply if a Medicare item number is valid.

If your case meets Medicare criteria, a partial rebate may apply. Private health insurance may also contribute if your policy covers hospital procedures related to medically indicated plastic surgery. Your surgeon cannot guarantee Medicare approval; eligibility is determined by Medicare or your health fund. Patients will still have out-of-pocket costs.

FAQs ...

The size or prominence of your ears is usually determined by a few factors, including:

Genetic Factors: Ear shape, size, and how far they stick out from your head are largely inherited traits. If one or both of your parents have prominent ears, there’s a higher chance you might too.

Development in the Womb: During fetal development, ears start as a cup-shaped structure and gradually fold into their final shape. Sometimes, the antihelical fold doesn’t fully form, or the conchal bowl is too deep. This can make the ears appear larger or more prominent.

Other Factors: Ears continue to grow slightly with age, but most of the adult size and shape is set by early childhood.

There’s no functional issue with prominent ears; it’s a structural and cosmetic variation.
If your ear size or shape is causing you concern or affecting you, Otoplasty (ear reshaping surgery) is a procedure that can adjust ear position, fold, or proportion.

Children can usually have Otoplasty from around six years of age. By this time:

Ear growth is mostly complete, so surgery is less likely to interfere with development.

Self-awareness begins around this age, meaning children may be more aware of their ears and affected by teasing or unwanted attention.

Performing surgery at this age can help prevent psychological distress related to prominent ears. There is no upper age limit, and adults can also have otoplasty if they wish to address prominent ears. The procedure can be tailored to each patient’s ear anatomy, age, and preferences regarding anaesthesia.

If you have prominent ears, there are a few options to consider depending on your age, anatomy, and personal goals. A plastic surgeon or ENT specialist can assess your ear anatomy and discuss whether surgery is suitable.

Otoplasty (Ear Pinning Surgery): A surgical procedure designed to adjust the shape, position, or projection of the ears. It can help address issues such as an underdeveloped antihelical fold, deep conchal bowl, or large earlobes. Our surgeons use techniques like the Chong-Chet approach, which involves scoring the cartilage and using nylon sutures to position the ears. Surgery may be suitable for children (from around age six) and adults.

Non-Surgical Options (Temporary/Supportive): Some children may use ear splints or moulds in early infancy, but this is only effective when the cartilage is still very soft.

Yes, there are surgical options to reduce the size of the ears. This is typically called Ear Reduction Surgery/Ear Pinning or Otoplasty.

why choose me clinic ...

With over 35 years of experience in plastic surgery, aesthetic cosmetic medicine, and skin rejuvenation, Me Clinic is built around a simple priority: patient-first care.

We take time to understand you as an individual and curate an approach that feels meaningful and appropriate for your needs. We listen, we care, and we support you through your journey — from consultation through to aftercare.

Our team of Specialist Plastic Surgeons can advise on suitable options to address your concerns. In an ever-evolving field, we focus on evidence-informed care and contemporary treatment options, with suitability always assessed on an individual basis.

Surgeons who perform Otoplasty (Ear Surgery) at Me Clinic …

Book your otoplasty consultation ...

If you are considering Otoplasty (Ear Surgery), a consultation with a Specialist Plastic Surgeon is your opportunity to discuss your concerns, learn about suitable options, and understand what your personalised plan may involve.

For all surgical procedures, you will need a valid GP Medical Referral to have a medical or cosmetic consultation with Me Clinic’s Specialist Plastic Surgeons. To begin your journey, call 1300 852 050 or enquire via our contact form.

We look forward to hearing from you soon and answering any further questions you may have.

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