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Otoplasty (ear pinning)

Prominent external ears (prominotia and lop ear) may be a source of embarrassment or teasing throughout childhood, and may severely impact a person’s confidence as an adult. In the case of prominent but normally-shaped ears, the bowl (concha cavum) of the ear is too large or projects too far away from side of the head (mastoid bone). In other cases, the top of the external ear (pinna) is lacking one of the normal folds (lop ear). This gives the ears a fullness or a rabbit-like appearance, and may cause them to look out of proportion with the rest of the face.

Luckily, each of these issues can be treated with a simple surgical procedure called otoplasty or ear pinning. Dr. Ransom reshapes or pins prominent ears using suture and cartilage-shaping techniques. All incisions are placed behind the ear, leaving no visible scars. Otoplasty is a minimally-invasive procedure and can be performed with local anesthesia or minimal sedation in an office-based facility or ambulatory surgery center. For children, the procedure may be performed in a hospital setting. Please contact Dr. Ransom for more information about otoplasty or to schedule your consultation today!

Who is a candidate?
People with prominent ears or ears that project too far from the sides of the head may be a candidate for otoplasty or ear pinning. In adults, surgical correction can be undertaken any time. In children, the ears must be done growing before the procedure is performed. In most cases, the external ears reach adult size between 8 and 12 years of age. Dr. Ransom would be happy to discuss the anatomy of the external ear and procedures that are used to reshape this area during your consultation.

Frequently Asked Questions

Q: What should I expect after my otoplasty (ear pinning)?
A: After the procedure, a protective dressing is worn for 24 hours. When the dressing is removed, the treated area may appear slightly puffy or swollen. Minimal bruising and redness can also occur, but significantly swelling or pain should not occur. Acute or rapid increases in swelling should be reported immediately to the doctor. With appropriate activity restrictions, patients are typically able to return to school or work very soon after treatment.

Q: How much will otoplasty (ear pinning) change my appearance?
A: Depending on the size, shape, and projection of the ears, otoplasty can have a dramatic effect on your appearance. The change tends to be subtle, however, and generally does not draw direct attention. Immediately after the procedure, the ears will be slightly “over-corrected” – meaning that the tightness of the ear pinning is greater than it will be after healing. This is a necessary aspect of the procedure, because the elasticity of the ear cartilage and the innate give of the suture material will result in some mild loosening over the healing phase.

After the ears have healed, many patients report that people tell them they “look good” but cannot exactly identify the reason. For most people, the greatest benefit is in self-confidence – they are able to stop worrying about how their ears look, and start thinking about the positive aspects of their features. Feeling better is the goal, and Dr. Ransom will work with you to achieve it.

Q: I am an athlete. Are there any restrictions after my otoplasty surgery?
A: This is an important area of discussion when planning your ear pinning or ear reshaping surgery. All patients will wear a bulky, soft cotton dressing for 24 hours after the procedure. This is then changed to a less bulky supportive dressing that is worn for the rest of the week following your surgery, and then typically at night only during the next week. If you play contact sports (particularly wrestling, rugby, football, or basketball), it is essential that you take time away. In general, Dr. Ransom recommends 6 weeks; individual cases may vary, however, based on your specific anatomy and surgical procedure. Proper care, including avoidance of potential injury and stretching of the ears, is essential to achieving the best result possible.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.