Otoplasty

Natural-looking ears, quieter confidence

Otoplasty is a type of surgery that changes the shape of the outer ear (auricle) to make it less noticeable, more symmetrical, or to fix shape problems that have been there since childhood or gotten worse over time. The goal is not to make “perfect” ears.

The goal is to make the ears and face look more natural from the front, side, and in pictures. Dr. Kevin Haddad plans based on your anatomy, so your cartilage strength, ear folds, and head shape decide how to do it. This way, the result looks more polished than “pinned.”

Why ears look prominent

People with prominent ears usually have one or more of these anatomical patterns: an underdeveloped antihelical fold (the natural inner fold that helps the ear sit back), an overdeveloped conchal bowl (the deeper central part of the ear), or a mix that changes the angle of the ear to the head.

This is important because the “right” fix depends on what caused the problem. If you treat the wrong structure, your ear may look flat, set back too far, or uneven at certain angles.

What otoplasty is designed to improve

Otoplasty can fix problems like ears that stick out, ears that don’t project evenly, or ears that have an odd shape that draws attention. A lot of the time, the goal is to make the folds a little less noticeable and more refined, not to make a big change.

A natural-looking result usually means that the ear still has depth and normal curves, but it is better balanced with the head and face.

Who tends to be a good candidate

The best candidates are healthy, know what symmetry is, and want a natural correction instead of a “erased” ear shape. Both adults and children can have otoplasty done. It is usually done when the child’s ears have grown enough and they can follow the aftercare instructions.

  • Ears that stick out and have been that way for years, which hurts self-esteem
  • The position or projection of the ears is noticeably uneven.
  • Expectations that are realistic (better harmony, not identical “mirror” ears)
  • Willingness to follow instructions for dressing and headbands during the early stages of healing
  • No untreated condition that caused new ear swelling or skin infection at the time of surgery

How the ear is reshaped

Many modern otoplasty methods don’t damage the cartilage. Instead, they use carefully placed sutures to recreate or strengthen the antihelical fold and, if necessary, move the conchal bowl closer to the head. This method tries to keep the natural shapes while changing the position.

In real life, Dr. Kevin Haddad customizes the procedures to fit your ear. For example, he makes a clean fold where it is missing, lowers conchal prominence when it pushes the ear outward, and fine-tunes lobule position if the lower ear needs to be balanced.

 

Where scars sit (and why most people don’t notice them)

Incisions are typically placed behind the ear, within the natural crease where the ear meets the scalp. This positioning helps keep scars discreet once healed, while giving the surgeon access to shape and stabilise the cartilage.

Scar visibility depends on skin type and healing tendency, but the intent is always the same: a well-hidden line and a natural ear edge from the front.

Dressing, headbands, and returning to normal

After surgery, the ear needs protection while the new contours stabilise. Postoperative dressings and headband routines vary by surgeon and technique, and research has explored shorter dressing periods in selected patients without worsening outcomes.

  • A firm dressing is often used early to protect the ears from accidental bending or trauma
  • Some protocols support short initial bandaging (for example, 24–48 hours) in appropriate cases
  • A soft headband is commonly used afterward, especially at night, to reduce the risk of folding the ear during sleep (your exact duration is personalised)
  • Swelling and tenderness are expected early; the ear shape looks more “settled” as weeks pass

Things that can go wrong (and how we reduce the risk)

Most people who have otoplasty recover without any problems, but it’s important to know that there are some possible problems, such as hematoma (blood collection), infection, irritation or erosion of the sutures, hypertrophic scarring or keloids, asymmetry, and recurrence that needs revision.

Stable cartilage shaping (without too much tension), careful wound care, and clear instructions on how to protect the ear during the early healing phase all lower these risks by a lot.