Prominent ears are an anatomical variation where the outer ear sits at a wider angle from the head than usual. While not a medical problem, it can lead to self-consciousness and social pressure starting from school age. Otoplasty (prominent ear surgery) is a safe, effective surgical procedure that corrects this permanently.
Why Do Ears Protrude?
Two main factors cause the outer ear to sit at a wide angle: underdevelopment of the antihelix (the inner fold) or an overly large conchal cartilage (the bowl-shaped area). Both are linked to hereditary predisposition; birth trauma is a rarer additional cause.
What Is Assessed Before Surgery?
The consultation evaluates the structure of the ear cartilage, the degree of asymmetry between the two ears, and the patient's expectations, or the family's expectations for pediatric patients. In children, overall health is also reviewed before anesthesia.
How Is the Surgery Performed?
Otoplasty is performed through a hidden incision behind the ear. The surgeon reshapes the cartilage and secures it with permanent sutures. The surgery takes 60-90 minutes; general anesthesia is typically used for children, and local anesthesia for adults.
Since the incision stays behind the ear, no visible scar forms after surgery. The plan is designed so both ears appear symmetrical.
Frequently Asked Questions
How permanent is the result?
Otoplasty results are permanent. The permanent sutures used hold the cartilage in its new position. Barring trauma, the ears do not return to their original shape.
What does recovery look like?
A head bandage is worn for 1 week after surgery. Once it comes off, a sports headband is worn for 4-6 weeks, especially at night. Swelling and sensitivity resolve within 2-3 weeks. Return to social life is possible in 7-10 days.
Can it be done for just one ear?
Yes. If only one ear is affected, only that ear can be operated on. However, the surgeon evaluates both ears to ensure symmetry when developing the surgical plan.
Is it covered by insurance?
Otoplasty performed for aesthetic reasons is not covered by Turkey's national health insurance (SGK). Partial coverage may be possible in cases with an underlying medical cause; contact the clinic for details.
Is general anesthesia risky for children?
General anesthesia is safe for children when administered by an experienced anesthesia team using modern techniques. Potential risks are identified in advance during the preoperative assessment, and the family is given detailed information.