At What Age Can Ear Surgery Be Performed? Otoplasty in Adults

Although ear surgery (otoplasty) is mostly known as an operation performed in childhood, there is no upper age limit; it can also be performed in adults whose ear development is complete. This article explains at what ages ear surgery can be performed and what is taken into account in adults.

At What Age Can Ear Surgery Be Performed?

Because the ear usually reaches most of its adult size at around 5–6 years of age, ear surgery can be performed after this age. From then on, the operation can be planned at any age if the person's general health is suitable. For timing and preparation in children you can read our article Prominent Ear Surgery (Otoplasty): From What Age Can It Be Performed?.

Which Problems Is It Used for in Adults?

In adults, ear surgery may be considered in the following situations:

• Ears that stick out from the head (prominent ears)
• A difference in shape or position between the two ears
• Ears that look large, or shape irregularities in the folds of the ear
• A torn or stretched earlobe
• Shape irregularities remaining after previous ear surgery

Ear surgery is a procedure aimed at changing appearance; it does not correct hearing problems.

How Is the Operation Performed in Adults?

In adults, ear surgery can often be performed under local anaesthesia; sedation or general anaesthesia is chosen when necessary. The incision is usually made behind the ear, and the cartilage is reshaped with stitches and reduced if necessary. Because the cartilage is firmer in adults than in children, the reshaping technique is chosen accordingly. The doctor decides the type of anaesthesia, the duration of the operation and when the stitches are removed.

The Recovery Period

After surgery a head bandage is worn for a while, followed by a headband that protects the ears, especially at night. Pain, swelling and tenderness may occur in the first days; the person does not lie on their ears while sleeping. The doctor decides when glasses can be worn and when sport and work can be resumed. For returning to social and daily life you can read our article How Is Social Life Affected After Prominent Ear Surgery?.

Risks

Like any surgical procedure, ear surgery has risks. A collection of blood under the skin of the ear (haematoma), infection that may also affect the cartilage, asymmetry between the two ears, the ear sticking out again over time or looking too close to the head, stitches that can be felt through the skin, scarring and temporary reduced sensation may occur; in some cases a corrective operation may be needed. Haematoma is uncommon but needs prompt assessment; if suddenly increasing pain or swelling occurs after surgery, a doctor should be seen without delay. For detailed information you can visit our prominent ear surgery page.

Author: Op. Dr. Yücel Sarıaltın