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Procedimento

Otoplasty

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Indication: 

There are numerous types of malformation in the ears. The so-called prominent ear (wagging ear) is more frequent, in which patients present the lateral edge of the ear distanced from the head, often appearing to be larger than normal. In these situations, there is also the erasure of the inner ear fold, called the anti-helix, giving the ear an even stranger shape. 

Otoplasty is the surgery that aims to correct such changes, reducing the distance between the lateral edge of the ear and shaping erased structures, such as the antihelix. With this, the ear becomes more natural in shape, without the stigmas of the wagging ear, freeing patients from psychological trauma prior to surgery. The ideal age for surgery is from 6 years old, when the ear has reached its definitive size and the child begins the school period. 

Surgery time 

about 90 to 120 minutes 

Surgical technique: 

The otoplasty scar is located in the posterior region of the ears (posterior auricular sulcus), at the junction with the head. Thus, it is absolutely imperceptible and has very good quality. Through this scar, the skin of the ear cartilage peels off, allowing the molding through stitches. Scar closure is performed with internal and absorbable stitches, thus not requiring removal after surgery. Check out the following illustrations: 

Length of hospital stay: 

From 12 to 24 hours.  

Postoperative: 

Mild pain is normal in the first few days after surgery, however it is perfectly controlled with medications indicated by the plastic surgeon. Swelling is also expected, especially during the 1st month after surgery. In the 2nd month of surgery, almost 80% of the swelling will have already given way. 

In the 1st month, any trauma to the ears, including sleeping on them, should be avoided. For one month, an elastic band should be worn covering the ears 24 hours a day to prevent the recurrence of previous malformation. In the 2nd month, the banner can only be worn at night. 

Final result: 

After surgery, the ear is already in a shape very close to the definitive, with the formation of the antihelix and the approach of its lateral edge to the scalp, but with swelling and some purple spots (ecchymosis) due to surgical manipulation. Purple spots come out between 7 and 10 days and swelling decreases 80% by the 2nd postoperative month, providing an increasingly natural and harmonious result to the ears. Already the scar usually reaches its definitive maturation in the 6th postoperative month. The end result may vary according to the patient, and depends on several steps, especially postoperative care and its new routine after this period. 

Possible complications: 

  • Occurrence of bleeding and bruising, mainly due to exuberant vascularization of the ears. Treatment of this complicationis donewith drainage; 
  • Occurrence of surgical infection;
  • Appearance of keloid and hypertrophic scar;
  • Chances of the ears return to their original position partially or fully, better known as relapse. This is because the cartilage has memory of the original position.

Preoperative Recommendations 

  • The patient should inform if they are using any medicine that has anticoagulant effect;
  • For women, menstruation is not a hindrance to surgery, but if there is a possibility of pregnancy or menstrual delay, the situationshould be reportedto the doctor; 
  • Smokingshould be stopped7 days before surgery; 
  • Communicate changes in health status on the eve of surgery;
  • Do not wear dark colored nail polish on the day of surgery and avoid wearing jewelry and watches;
  • Attend surgery with a companion and provide gauze, finemicropore, cotton swabs, saline and procedural gloves for postoperative dressings.

The end result of otoplasty, as in all cosmetic surgeries, will depend on the reaction of the patient's organism and zeal with pre and postoperative indications. 

Schedule an appoitment right now with Dr. Petrônio Fleury
Take care of your body and live differently! Remodel your curves naturally and look even more beautiful.

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