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Otoplasty, also known as loop ear surgery, is a surgery used to reshape one or both ears. Patients who feel dissatisfied with the size or shape of their ears can change their appearance through this outpatient procedure. Otoplasty also includes reduction of the ears or lobes and surgery of the ears in cauliflower to remove and remodel excess skin and cartilage.
The plastic surgery of ears in the handle and the remodeling of ears usually are made with local anesthesia and a sedative in adults, and with total anesthesia in children. To begin otoplasty surgery, the surgeon will make an incision behind the ear to expose the cartilage. Then, it will reshape the cartilage and remove excess skin. Finally, if necessary, it will accommodate the ear closer to the head and close the incision with stitches or non-removable sutures. Cosmetic ear surgery usually takes between one and two hours, depending on the extent of the surgery.
Most plastic surgeons recommend that parents observe the child’s behavior in relation to their prominent ears; Do not insist on surgery until the child so wishes. Those children who are displeased with their ears and want to have surgery, cooperate more during the intervention and are happier with the result. Many patients, children or adults, may be unsure about the outcome of otoplasty. Keep in mind that you want to get an improvement, not absolute perfection. Do not expect an exact symmetry, which would even be unnatural. If you discuss with your plastic surgeon, the procedure, your expectations and options, the results will be very satisfactory. At the first consultation, the plastic surgeon will evaluate the problem and recommend the most effective technique for your case. It will also give you instructions to prepare for surgery. The catalog of Social Security benefits does not include performing an otoplasty for aesthetic reasons, except in cases in which there is an important associated psychological disorder or when the deformity is very important, and as long as it is during school age.
There are several different techniques to perform a loop-ear surgery during otoplasty. In general, the surgical technique chosen by the doctor will depend on the nature and degree of the problem. The different methods for ear loop surgery and remodeling can be divided into two basic groups: with exposure and cartilage trimming and cartilage remodeling with stitches, without cutting it. The techniques with exposure and cartilage trimming use incisions in the cartilage to remove, add or rearrange the tissue. With these methods, there is a greater risk of leaving scars, although most are not visible. The remodeling techniques, without cutting the cartilage, like that of Mustardé, use stitches and sutures to manipulate the shape and position of the ear. The otoplasty surgery with the remodeling of the cartilage, minimally invasive, often produces softer and more natural curvatures. Earloop surgery, through which the protruding ears approach the sides of the head, combines the removal of skin behind the ear with the techniques of cartilage remodeling and cartilage trimming. This combination of techniques allows the surgeon to achieve the ideal shape and location. Reconstructive ear surgery, a form of otoplasty that is used to correct deformities (such as ears in cauliflower) or injuries, combines a variety of otoplasty surgery techniques and other reconstructive procedures to recreate a human ear that looks natural.
While some patients only require the correction of one ear, many others have aesthetic problems in both. The bilateral otoplasty is a surgery of ears in the handle and of remodeling that is carried out in both ears. Bilateral otoplasty is performed in the same way as single-ear surgery and has the same recovery time, potential complications and benefits. Although it is possible that the side effects of the intervention, such as itching and palpitations, are more pronounced after a bilateral otoplasty, the discomfort will remain minimal.
Some patients are more concerned with the size and shape of their ears than the fact that they protrude from the sides of the head. There is a variant of otoplasty known as ear reduction surgery that is used to sculpt large ears and give them a more natural and stylized appearance. Ear reduction surgery, which may include reduction of the lobes, is an outpatient procedure that can be performed on children and adults. During surgery, the doctor will remove unwanted parts of cartilage and skin and reshape the ear to create a more compact size. Ear and lobe reduction surgery, often accompanied by loop ear surgery, provides balance and symmetry to the face and ears.
In addition to protruding ears or ears “on the shoulder”, there are other problems that can also be solved with surgery. These include the contracted ear and the cupped ear. The elongated lobes and the torn lobes can also be surgically improved. The plastic surgeon is also able to create a new ear when it is born without it (microtia) or when it is lost due to trauma. The information contained in this page in no case can, nor does it pretend, to replace the information provided individually by your plastic surgeon. In case of doubt, your plastic surgeon will provide you with the necessary clarifications. If you are thinking of undergoing a Plastic or Aesthetic Surgery, go to a Specialist in Plastic, Reconstructive, and Aesthetic Surgery.
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