- Otoplasty is an outpatient procedure, for young patients, Otoplasty is performed under general anesthesia while for older children and adults local anesthesia is used.
- Selection of Otoplasty technique is based on the general anatomy of the ears, the extent of the ear cartilage, excessive skin in the surrounding area, or level of deformity in other areas of the ears.
- In one technique, incision is made behind the ear and the exposed ear cartilage is sculpted and re-positioned closer to the head.
- In the second technique the cartilage is not removed, instead the skin of the ear is removed; the ear cartilage is folded back and held in place with non-removable sutures.
- For total ear reconstruction or congenital microtia (ear absence) a framework is developed from the ribs, then the back is elevated and a skin graft is placed. The ear canal is then carved out.