Incisionless Otoplasty

a smiling young woman outside in a park

Incisionless otoplasty is a non-surgical, minimally invasive alternative to traditional otoplasty surgery. Like traditional otoplasty surgery, it is done to reduce ear prominence, correcting misshapen, asymmetrical, or protruding ears to improve facial symmetry and proportional facial balance; however, there is no cutting of ear cartilage involved with this procedure. As a result, there will not be any permanent scars for patients to worry about. The procedure is done using non-absorbable sutures to correct the anti-helical fold and reshape the anti-helix. In some cases, using threaded sutures, the ears are pinned back giving them a more attractive appearance.

Prominent or misshapen ears can be a real source of significant emotional distress for both adults and children. Fortunately, this simple non-surgical procedure can often reshape the ears in a single visit to enhance the overall cosmetic appearance of the ears.

What Causes Protruding Ears?

Ears may protrude from the head for two reasons:

  • The anti-helical fold fails to form during the growth of the ear; and/or
  • The conchal bowl (the part of the ear that forms a bowl) is enlarged.

At What Age Can a Child Have an Incisionless Otoplasty?

A child can have an incisionless otoplasty procedure done between the ages of 5 and 6 when the ear is fully developed and before the child is about to start school. This timing is also important because it is when a child begins to develop self-esteem.

Are The Results Permanent?

Yes, the results are permanent, as the cartilage will conform to its new shape after 3 to 6 months, which ensures that the correction lasts.

Who Is An Ideal Candidate for Incisionless Otoplasty?

Incisionless otoplasty is generally for anyone that suffers from protruding ears; however, eligibility for this procedure depends on each patient’s unique anatomy.

What Can You Expect During a Consultation?

Incisionless otoplasty involves a careful analysis of the ear deformity itself and correction of the deformity or prominence. During your consultation, Dr. Pero will review your medical history and examine your ears to determine whether or not you are a candidate for incisionless otoplasty. If you are a candidate for this procedure, he will discuss the procedure with you, describing in detail the steps he’ll take to make your desired correction.

If you have any questions about your proposed treatment plan, your consultation is the time to ask your questions, so you have a clear understanding of the procedure and have appropriate expectations.

How Is The Otoplasty Performed?

Incisionless otoplasty is performed with sutures passed directly under the skin without a separate incision. This allows for less healing, no scarring, and an excellent result in carefully selected patients.

How Long Does The Procedure Take?

Dr. Pero takes 60 minutes to perform incisionless otoplasty for treatment to both ears.

What Type Of Anesthesia Is Used For Otoplasty?

For children, general anesthesia is commonly used. For most teenagers and adults, Dr. Pero performs incisionless otoplasty using local anesthesia with or without local sedation to maximize patient comfort.

Is The Procedure Painful?

Most patients do not have significant pain or discomfort following incisionless otoplasty. However, Dr. Pero may prescribe pain medication just in case it is needed.

Is Incisionless Otoplasty Performed On An Outpatient Basis?

Yes, incisionless otoplasty is performed on an outpatient basis at our North Texas office location, surgery center, or hospital.

What Are The Benefits Of Incisionless Otoplasty?

Incisionless otoplasty offers several benefits to patients, including:

  • Non-invasive, non-surgical option
  • No incisional scars
  • No need for general anesthesia
  • Minimal discomfort
  • Sutures are permanent
  • Natural-looking set back ears
  • Low risk of infection
  • Faster procedure than traditional otoplasty

What Can You Expect After The Procedure?

After the procedure, you may experience some swelling and tenderness, as well as some slight bruising. These symptoms should dissipate within a few days, and you can return to normal activity.

There is no need for bandages to be worn after the procedure. You’ll only need to wear a headband for one week then at night for one month to protect the ears and encourage healthy healing.

Are There Any Aftercare Instructions To Follow?

For the first night after the procedure, you should rest in bed and keep your head elevated with two pillows. You should also follow a bland diet the first night home, and take any medication as prescribed for pain and discomfort.

How Soon Can You Return To Normal Activities After The Procedure?

There is minimal downtown with incisionless otoplasty. Patients can return to work or school within 1-2 days after the procedure and should avoid exercise for 1-week post-procedure. It is also recommended that you avoid contact sports for 3 to 6 months to ensure the best results.

Are There Any Complications Associated With Incisionless Otoplasty?

There are minimal complications associated with incisionless otoplasty, some of which may include asymmetries, suture failure, suture exposure, granuloma formation, or a reaction to topical ointments (e.g., bacitracin zinc/polymyxin B sulfate). In such cases, a revision procedure may be done to achieve the desired result.

Are Scars Visible After The Procedure?

In the appropriate candidate, the incisionless otoplasty provides an excellent result with no visible scarring.

Contact Us

Dr. Pero is a double board-certified facial plastic and reconstructive surgeon, who has performed hundreds of cosmetic procedures.

Click here to view our photos of some of our patients’ “before and after” photos.

Dr. Pero is a surgeon you can trust:

  • He is trained and experienced in all facial plastic surgery procedures;
  • He operates only in accredited medical facilities;
  • He adheres to a strict code of ethics; and
  • He is board certified by The American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and The American Board of Otolaryngology/Head & Neck Surgery (ABOTo).

Click here to request your consultation with Dr. Pero.

If you are interested in discussing Incisionless Otoplasty with Dr. Pero, please call (214) 382-5100 to set up a consultation.