Dr. Dirk Lazarus

Plastic, Reconstructive & Cosmetic Surgeon

MBChB (UCT), FCS (SA) Plast & Recon Surg

Ear Correction

I manage a number or ear problems including protruding or bat ears, earlobe reduction, split earlobe repair (see the video at the bottom of the page), ear tags, skin cancers of the ear, etc.

All ear surgery on adults is performed as day case surgery (in and out the same day) in my own, private facility. The procedure is done under local anaesthesia (no worse than going to the dentist), but sometimes sedation is given. Surgery is usually performed in the morning and you will be discharged home later that same day.

Protruding or bat ears can be corrected by an otoplasty procedure. Bat ears may be due to either an excessively deep concha (meaning shell) or an inadequate antihelical fold or both.

Eare

The ear, antihelical fold and concha

To correct bat ears, an incision is made in the groove behind the ear and some tissue is removed. The commonest issue is a deep concha and to correct this the concha is sutured back with permanent sutures to approximate it closer to the head. To create or deepen the antihelical fold the cartilage is sutured back on itself behind the ear with permanent sutures. Often both procedures are required. Once the ear is correctly placed, then I close the cut behind the ear with dissolving sutures.

Post-operatively you will need to wear a head bandage for about 5 days. There will still be some swelling and bruising of the ear after removal of the bandage, but this will not be that apparent to other people and you will be able to start resuming normal activities. The swelling and bruising take about another week to settle. You should wait a month before resuming sports and 6 weeks for contact sports.

The ears, once set back, should remain back in their new position, although some settling in can be expected.

Before and after correction of bat ears

Before and after correction of bat ears

 

Earlobe reduction can be performed either by taking out a wedge of tissue or by cutting along the edge to remove the excess. Once the extra tissue is removed, fine sutures are used to close the wound and small plaster dressing is required. The procedure is performed under local anaesthesia and usually sedation is not required so you can drive to and from the clinic. Sutures are removed at around day 10. There is minimal downtime from this procedure and the scar is acceptable.

Edge Excision and Wedge Excision

Earlobe reduction using Edge excision

Earlobe reduction using Wedge excision

Page last updated 21 July 2020

Testimonials

This email comes late as I have purposed to do this since the beginning of the year. I came to you in January 2009 to have reconstructive surgery for a scar on my face. For many people it did not seem a big deal but somehow, I had failed to accept as I could not even look at my face because of it.

You did an excellent job. With the limitations you explained to me, the scar has now healed with a year of plaster/ tape. I still see where the scar originally was but it is now almost unnoticeable that I hardly take notice of it.

I now go about confidently, never hiding my face with my hand as I used to do in the past.

Also, you were so gracious to let me use the coach house at only a fraction of the price. You will never know how truly grateful I am. I will always have fond memories of Cape Town.

Thank you so much. Please extend my thanks to your team also.

God bless you,

General