Otoplasty Melbourne

Prominent/protruding ears are usually a congenital condition that develops in utero. The ears begin as a cup shape and fold into position late in development. In people with prominent ears, this folding process may not occur as expected. This can result in an underdeveloped antihelical fold (the crease along the outer rim of the ear), an enlarged conchal bowl (the hollow next to the ear canal), or a larger earlobe all of which can affect the ears appearance. These differences in ear anatomy contribute to a more prominent appearance. While prominent ears rarely cause functional problems, they can carry a social stigma and sometimes lead to teasing or unwanted attention.

Dr Gary Kode, Specialist Plastic Surgeon in Melbourne and Launceston, performs Otoplasty using an individualised approach that considers each patient’s unique anatomy and personal goals.

What Is Otoplasty Surgery?

Otoplasty is a surgical procedure that changes the way the ears project from the head. Prominent ears are most often due to an underdeveloped antihelical fold, which typically helps position the ear closer to the side of the head.

Dr Kode’s approach involves a detailed assessment of the ear’s structures, including:

• The antihelical fold (the ridge of cartilage shaping the ear)
• The conchal bowl (the hollow of the ear cup)
• The cephalic/ auriculocephalic angle (the angle of projection from the head)

Why Do People Consider Otoplasty Surgery?

The decision to undergo Otoplasty is highly individual and depends on personal circumstances. Dr Kode performs the procedure on patients from around six years of age, when ear growth is largely complete and children may begin to experience social awareness at school.

Some patients pursue surgery because they are concerned about the position, size, or shape of their ears. Others may seek the procedure to reduce unwanted attention or teasing during childhood or adolescence. Adults may choose Otoplasty to address long-standing concerns about their ear appearance, helping them feel more at ease when their ears are visible.

Am I a Suitable Candidate for Otoplasty Surgery?

Otoplasty may be suitable for both children and adults who are concerned about the shape, size, or position of their ears. Dr Gary Kode evaluates each patient individually to determine whether the procedure is appropriate, taking into account anatomy, health status and personal circumstances.

Children: Otoplasty can be considered from around six years of age, when ear growth is largely complete. Surgery at this age can help reduce the impact of teasing or social attention during early school years. Candidates should be ready for the procedure and able to follow basic postoperative care instructions with support from parents or caregivers.

Adults: There is no upper age limit for Otoplasty. Many adults seek the procedure because they have concerns about prominent ears that have persisted since childhood.

To be considered for Otoplasty, all patients should:

• Be in good general health, with no conditions that would interfere with healing or increase surgical risk.
• Have realistic expectations regarding the outcomes of the procedure.
• Understand the recovery process, including activity restrictions and the potential for temporary swelling or bruising.
• Understand the potential risks and complications of the procedure.
• Be able to attend follow-up appointments to monitor healing and results.

Ultimately, the suitability for Otoplasty is determined through a comprehensive consultation, during which Dr Kode provides guidance on the procedure, recovery, and potential risks, helping patients make an informed decision.

Otoplasty Before & After Photos

Photos are not available online at this time. Some images may be available for viewing during your consultation.

Each image is shared with written patient consent. Images are provided for informational purposes only. Individual results can vary depending on factors such as age, skin quality, medical history, and the specific surgical approach used. These images are not a prediction of your personal outcome. The decision to undergo surgery should be made in consultation with a qualified specialist who can assess your individual circumstances.

Otoplasty – What’s Involved in the Procedure?

Dr Gary Kode tailors each procedure to the patient and their needs, so the specific steps of the procedure may vary. Generally the procedure involves the following;

Anaesthesia and Duration

Dr Kode performs Otoplasty under either local or general anaesthetic, depending on the patient’s age, preference and comfort.

The surgery is performed as a day procedure. Meaning an overnight stay is not required and patients will be able to go home after an observation period after surgery.  The procedure itself typically takes between one to one and a half hours, depending on the complexity of the adjustments required.

Surgical Steps

Skin Preparation: A small section of skin may be removed from behind the ear to allow access to the cartilage so the fold can form without excess skin bunching. (This is not used to hold the ear in place.)

Skin Elevation: Fine instruments are used to lift the skin on the front of the ear in the areas where the fold is required, allowing the cartilage to bend.

Cartilage Modification (Chong-Chet Technique): Dr Kode carefully scores or scratches the surface of the ear cartilage. This controlled weakening allows the antihelical fold to form more easily and provides flexibility in shaping the ear.

Stitch Placement: Three fine nylon stitches are placed behind the cartilage to secure the fold and adjust the ear’s position. These stitches can be adjusted (removed, loosened or tightened) in the early postoperative period to alter the results, if required.

Closure: The skin is closed over the cartilage, completing the surgical procedure.

Follow-Up

Dr Kode arranges follow-up appointments at one week, one month, and three months after surgery to monitor healing, ear position and symmetry. Most patients are able to notice changes in position and shape of their ears by one month, while changes may continue as residual swelling gradually subsides.

Recovery After Otoplasty Surgery

Immediate Postoperative Period

Once patients are discharged from hospital they are advised to rest at home and limit physical activity during the first few days.

Mild to moderate pain is to be expected and can generally be managed with over the counter or prescribed medications. Patients can also expect swelling and bruising during the initial recovery period, which will dissipate over time.

Patients will have bandages over their ears after surgery which are typically removed around four days after surgery. At this point patients will be able to wash their hair carefully.

During the initial recovery period, it is recommended to keep the head elevated, including while sleeping. Patients are also advised to sleep on their back to avoid pressure on the ears, which may negatively affect the healing process.

Wound Care and Activity Restrictions

Desk-based work or school activities may be possible within a few days after surgery, depending on individual comfort levels. Light daily activities can generally be resumed around one week after the procedure.

Dr Kode typically advises patients to avoid contact sports or any activities that may result in impact to the ears until healing is complete. This is usually around one month after surgery, or until the patient feels that the ears could tolerate knocks without significant discomfort.

Long-Term Healing and Results

The position and shape of the ears usually settle and stabilise within one month. However, it may take three months or more for residual swelling to dissipate and for the final results to be apparent.

Scars are typically concealed in the folds and creases of the ear to reduce visibility and will continue to fade over time.

Risks and Complications

All surgical procedures carry risks. Dr Gary Kode discusses all risks during the consultation as part of the informed consent process. Possible risks and complications of Otoplasty include:

• Swelling and Bruising: Swelling and bruising around the ears is expected after surgery. This typically decreases over the first few weeks but may persist for several months.
• Asymmetry: Slight differences between the position or shape of the ears may occur.
• Nylon Sutures: Nylon stitches are used during the procedure. Occasionally, a suture may poke through the skin and require removal. This usually does not affect the overall outcome of the procedure.
• Changes in Skin Sensation: Temporary numbness or altered sensation around the ears may occur. This usually resolves over time but can be persistent in some cases.
• Infection or Bleeding: As with any surgery, there is a risk of infection or bleeding. Proper wound care and follow-up are important to reduce these risks.
• Scarring: Scars are placed in the folds and creases of the ear to reduce. While they generally fade over time, scar appearance can vary depending on individual healing factors.
• Cartilage Relapse: In some cases, the ear cartilage may shift slightly after surgery, potentially altering the initial fold. This is uncommon but may require revision.
• Standard Anaesthetic Risks: Otoplasty can be performed under local or general anaesthetic. Each carries the usual risks associated with anaesthesia, which Dr Kode reviews with patients prior to surgery.

For more information visit our Risks and complications of surgery page.

How Much Does Otoplasty Surgery Cost in Melbourne?

The total cost of Otoplasty surgery depends on several factors, including the procedure’s complexity, whether one or both ears are being operated on, the surgery time as well as the anaesthetist and hospital fees.

After a consultation with Dr Kode, you’ll receive a personalised quote that outlines the total expected cost for your procedure.

In some cases, Medicare or private health insurance may provide partial rebates if the procedure meets certain medical criteria (see below).

In line with AHPRA guidelines, we do not list specific fees online. During your consultation, Dr Gary Kode will provide a clear, personalised quote tailored to your situation, making sure you have all the information you need to make an informed decision.

Medicare Eligibility for Otoplasty Surgery

In some cases, Otoplasty may be eligible for a Medicare item number if it meets medical criteria, such as surgery performed in children under the age of 18 for prominent ears. Private health insurance may also apply if a Medicare item number is valid.

If your case meets Medicare criteria, a partial rebate may apply. Private health insurance may also contribute if your policy covers hospital procedures related to medically indicated plastic surgery. Your surgeon cannot guarantee Medicare approval, eligibility is determined by Medicare or your health fund. Patients will still have out of pocket costs.

FAQs About Otoplasty Surgery

Book a Consultation

Dr Gary Kode is a Specialist Plastic Surgeon with extensive experience in Otoplasty Surgery. He is known for his patient-centred approach, surgical experience and commitment to achieving optimal results.

Dr Kode provides thorough consultations to help determine the most appropriate surgical plan for each patient.

Disclaimer

The information provided is for educational purposes only and does not constitute medical advice. Individual results may vary, and all surgery carries risks and potential complications. A thorough consultation is necessary to determine the most appropriate treatment plan for your specific circumstances.