Otoplasty, also known as ear pinning surgery, is performed to reshape or reposition the ears, helping to create a balanced and natural facial appearance. For many people, prominent or uneven ears can lead to self-consciousness, sometimes from childhood. Otoplasty offers a safe and effective way to address these concerns, improving both confidence and facial harmony.
There are two main techniques used in otoplasty: the suture technique and the cartilage scoring technique. Each method has its own advantages, and the most suitable approach depends on the individual’s ear structure and desired outcome.
The Suture Technique
The suture technique involves using permanent Goretex sutures to reshape and hold the ear in its new position. Goretex is a durable, biocompatible material also used in cardiac surgery because of its long-term stability and safety.
In the past, older types of sutures occasionally worked their way through the skin, but this issue is rare with Goretex due to its smooth and inert properties.
This approach provides excellent control over the ear’s shape and position. The surgeon can precisely define the ear’s natural folds and adjust the distance between the ear and the side of the head. Because the cartilage remains intact, healing is often quicker and more comfortable.
Advantages of the suture technique include:
- Stable and reliable long-term results
- Fine control over ear shape and position
- Minimal cartilage trauma and faster recovery
- A low risk of complications
This technique is ideal when the ear cartilage is soft and flexible enough to be reshaped with sutures alone.
The Cartilage Scoring Technique
When the cartilage is thicker or firmer, the cartilage scoring (or cartilage weakening) technique may be used. This method involves making a series of fine cuts on the inner side of the ear cartilage. These small incisions weaken the cartilage’s natural spring, allowing the ear to gently fold back into a new, more balanced position.
Cartilage scoring can produce excellent results, especially in cases where the cartilage resists bending with sutures alone. The goal is always a smooth, natural contour without sharp edges or visible ridges. As with the suture technique, the incision is placed discreetly behind the ear, and recovery is generally straightforward.
Choosing the Right Approach and Recovery
The decision between suture-based and cartilage scoring otoplasty depends on factors such as ear shape, cartilage thickness, symmetry, and patient preference. During your consultation, Dr Gillian Dunlop will carefully assess these details to determine the most suitable technique for your needs. Her focus is on achieving natural results while maintaining the structural integrity and comfort of the ear.
Otoplasty is typically performed as a day procedure, meaning patients return home the same day. After surgery, a soft head bandage is worn for several days to protect the new ear shape. Mild swelling or tenderness is normal and usually settles within a few weeks. Most patients return to work or study within a week, though contact sports should be avoided until the ears have fully healed.
With either technique, the final result should look balanced and natural, complementing the face rather than drawing attention to the ears.
Considering Otoplasty Surgery
If you are considering otoplasty or ear pinning surgery, it’s important to discuss your goals and expectations during a consultation. Dr Gillian Dunlop is a Sydney-based ear, nose and throat (ENT) and facial plastic surgeon with extensive experience performing both suture and cartilage-based ear reshaping procedures. Her approach combines surgical precision with an emphasis on natural, harmonious results.
Frequently Asked Questions about Otoplasty
Otoplasty can be performed once ear growth is nearly complete, usually after the age of six. It is suitable for both children and adults seeking ear reshaping.
No. The surgery only alters the outer ear and does not affect hearing function.
Yes. When performed using Goretex sutures or cartilage reshaping, the results are long-lasting and stable.
Incisions are made behind the ear, leaving scars that are discreet and typically fade over time.
Most patients resume light daily activities within a week. Any residual swelling continues to improve over several weeks.
Yes. The procedure can correct one or both ears, depending on the individual’s symmetry and aesthetic goals.
Please Note: Images are provided for educational purposes only. Surgery was performed by Dr Gillian Dunlop (Registered Medical Practitioner – MED0001141489), Specialist ENT Surgeon. Results vary between individuals due to differences in anatomy and healing. This information is general and not a substitute for personalised medical advice.
