Incisionless Otoplasty

Otoplasty is the technical term for surgical ear reshaping, and incisionless otoplasty is the nonsurgical, minimally invasive alternative to traditional otoplasty surgery. 

Like traditional otoplasty surgery, incisionless otoplasty is done to reduce ear prominence, correcting misshapen, asymmetrical, or protruding ears to improve facial symmetry and proportional facial balance. Prominent or misshapen ears can be a real source of significant emotional distress for both adults and children. With incisionless otoplasty, there is no cutting of ear cartilage involved with this procedure. As a result, patients don’t have to worry about any permanent scars. 

Fortunately, this simple non-surgical minimally invasive procedure can reshape the ears in a single office visit to enhance the overall cosmetic appearance of the ears.

Causes of Protruding Ears

Ears may protrude from the head for two main reasons:  

  • The antihelical 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.

Benefits Of Incisionless Otoplasty

Incisionless otoplasty offers several benefits to patients, including:

  • Minimally-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

Finding the Perfect Incisionless Otoplasty Surgeon

There are a lot of “plastic/cosmetic/aesthetic” surgeons out there, so how do you choose which one to go to? It can often be a daunting task to find the right surgeon. According to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), you should look for a surgeon who is board-certified in facial plastic and reconstructive surgery, as these are specialists in facial cosmetic and reconstructive surgery. 

These surgeons have completed a minimum of a 5-year highly competitive residency program that includes 1 year of general surgery and at least 4 years of training specializing only in head-and-neck surgery. Many AAFPRS members have also completed additional fellowship training in facial plastic and reconstructive surgery, including Dr. Colin D. Pero of North Texas Facial Plastic Surgery.

Meet Dr. Colin Pero of North Texas Facial Plastic Surgery

Colin D. Pero, M.D., is double board-certified by The American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology/Head & Neck Surgery (ABOto). 

He completed a fellowship specializing in aesthetic and reconstructive surgery of the nose accredited by the American Academy of Facial Plastic and Reconstructive Surgery.

Dr. Pero was fortunate to complete his fellowship under the tutelage of Dean Toriumi, M.D., a world-renowned Facial Plastic Surgeon, whose fellowship is regarded as the premier training opportunity in the world for the study of Rhinoplasty and Facial Plastic Surgery.

Colin D. Pero, M.D.

Dr. Pero’s Experience

Dr. Pero has been in practice for over 10 years and is a well-known expert in his field with a record of excellence. He has chosen to focus his training and practice on Facial Plastic Surgery of the Head, Face, and Neck and is pleased to offer his patients surgical and non-surgical treatments that enable individuals to reflect the beauty and youthful energy they feel on the inside. 

His practice emphasizes health and wellness with an interest in aesthetic and reconstructive surgery of the face and neck. With every case, he puts a strong emphasis on natural-appealing results and avoids the “tell-tale” signs of poorly performed facial plastic surgery.

Dr. Pero’s Philosophy on Incisionless Otoplasty

Dr. Pero’s personal philosophy on incisionless otoplasty is to provide patients with results that make them happy. In doing so, Dr. Pero is committed to being at the forefront of offering cutting-edge care to his facial plastic surgery patients. 

He strives to find long-term solutions, combining revolutionary non-invasive technology–innovations in healthcare–that can offer his pediatric and adult patients alternative treatment options that are minimally invasive. Ultimately, his goal is to restore his patient’s self-esteem and confidence with as little disruption as possible to where they are happy and enjoying life again.

Dr. Pero follows a conservative approach and utilizes techniques that minimize the risk of long-term complications while ensuring excellent long-term cosmetic results. 

Each patient is unique and requires a similarly unique approach to achieve patient satisfaction. This approach involves careful consideration and conversation with the patient on an individual basis with the aid of clinical photographs and computerized imaging to decide upon a treatment plan together.

Dr. Pero’s Commitment to Excellence

Dr. Pero has trained with some of the elite Facial Plastic surgeons in the world and continues his commitment to excellence by constantly evaluating and integrating the most cutting-edge procedures available in the world of cosmetic surgery. 

Often, new techniques offer shorter recovery periods and similar results to more traditional approaches. As a patient, you can expect a thorough discussion and evaluation of any proposed procedures to ensure it offers the lasting results you desire while avoiding any undue risk of complications.

This sometimes means relying on more traditional, proven procedures to achieve results in order to avoid the temptation of the “hottest” new procedures that have yet to prove their effectiveness and safety.

Incisionless Otoplasty Reviews and Testimonials

Over the last year, Dr. Pero has performed 50+ incisionless otoplasty procedures for children and adults. Hear what his patients have to say about their experiences. 

Incisionless Otoplasty Before and After Photos

Check out these before and after photos of incisionless otoplasty patients to get a sense of the aesthetic enhancement that you can expect from your incisionless otoplasty.

Ideal Candidate for Incisionless Otoplasty

Incisionless otoplasty is an ideal nonsurgical procedure for both children and adults who have protruding ears. Eligibility for this procedure, however, depends on each patient’s unique anatomy. 

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.

Permanent Results for Incisionless Otoplasty

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

North Texas Facial Plastic Surgery Offices in Dallas and Plano, TX

Our offices are professional and our staff is friendly, treating you courteously in an ambiance that is comfortable and puts you at ease. We boast the latest in cutting-edge technology and surgeries are performed at accredited facilities.

For your convenience, Dr. Pero has two office locations in Texas–one in North Dallas and the other in Plano. Check out the links below for directions. You may also leave us a message on that page including requests for consultation.  

Dallas Office
11970 N. Central Expressway
Suite 410
Dallas, TX 75243

Plano Office
Legacy Medical Village
5425 W. Spring Creek Pkwy., Suite 145
Plano, TX 75024

Incisionless Otoplasty Consultation

Incisionless otoplasty involves a careful analysis of the ear deformity itself and correction of the deformity or prominence. During the consultation, Dr. Pero reviews the patient’s medical history and examines the ears to determine whether or not the patient is a good candidate for incisionless otoplasty. 

If the patient is a good candidate for this procedure, Dr. Pero discusses the details of the procedure with the patient, describing the steps he’ll take to make the patient’s desired correction.

If patients have questions about the proposed treatment plan, they should ask Dr. Pero these questions during the consultation. Having a clear understanding of the procedure, and having appropriate expectations for outcomes will immensely help the patient in making an informed decision as to whether or not to proceed with the procedure.

Incisionless Otoplasty Procedure

Incisionless otoplasty is performed on an outpatient basis at the North Texas office location, surgery center, or hospital. It usually takes Dr. Pero 60 minutes to perform the procedure for both ears. 

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.

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.

The procedure is done using non-absorbable sutures to correct the antihelical fold and reshape the antihelix. In some cases, using threaded sutures, the ears are pinned back giving them a more attractive appearance.

Aftercare Instructions for Incisionless Otoplasty

After the procedure, patients may experience some swelling and tenderness, as well as some slight bruising. Most patients do not have significant pain or discomfort following the procedure, however, Dr. Pero may prescribe pain medication just in case it is needed.

For the first night after the procedure, patients should rest in bed and use two pillows to elevate the head. Patients should also follow a bland diet the first night home, and take any medication as prescribed for pain and discomfort. 

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

Recovery Period for Incisionless Otoplasty

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 to avoid contact sports for 3 to 6 months to ensure the best results. 

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

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.

Nonsurgical, Ear Reshaping Procedure at North Texas FPS

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

11970 N. Central Expressway
Suite 410
Dallas, TX 75243


Legacy Medical Village
5425 W. Spring Creek Parkway
Suite 145
Plano, TX 75024

(214) 382-5100
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