OTOPLASTY - DECOLLECTED EAR SURGERY (paris)
Otoplasty is cosmetic surgery for people with protruding ears. This facial surgery can correct various ear cartilage anomalies and improve facial harmony. Find out more about the techniques available to achieve natural, long-lasting results.
!! Please note: The Earfold has been withdrawn from the market since summer 2021!!!
WHO SHOULD UNDERGO OTOPLASTY?
For children, teenagers and adults alike, protruding ears can be a source of complexes and psychological suffering.
Ear separation is most often present since childhood (congenital malformation of the ear cartilage).
There are several types of ear anomalies:
- Faulty folding of the antherix (Y-shaped cartilage in the ear);
- Hypertrophy of the concha (posterior wall of the ear);
- Excessive anteversion or projection of the concha and lobe.
The definitive size of the ears is acquired around 7-8 years of age. It is therefore possible to otoplasty at this age.
However, it's important to remember that at this age, a folding defect of the ear is more pronounced because facial growth is not yet complete. It will therefore be necessary to wait until facial growth is complete before considering an ear surgery. surgical operation.
Otoplasty is a procedure that is commonly performed performed as part of cosmetic surgery. Dr Jérémy Djian, plastic surgeon in Paris, supports its patients in this process.
OTOPLASTY IN PARIS
Earfold technology
!! The Earfold device has been withdrawn from the market in the summer of 2021 !!
The Earfold technology is a minimally invasive procedure for correction of protruding ears. In recent years, it has become the preferred method for avoiding conventional surgery.
This procedure is performed under local anaesthetic.
First, a small incision is made. Next, a small prosthesis is placed over the cartilage. This prosthesis conforms the ear and the antherix plication.
It is possible to assess whether this technique will be sufficient to correct a detached ear. To do this, the plastic surgeon simulates the expected result with a trial prosthesis, the pre-fold.
If the pre-fold is sufficient to re-establish the ear's axis, and the patient is satisfied with the aesthetic result, this procedure can be offered.
It is estimated that this plastic surgery may be suitable for around 2/3 of patients who wish to "reattach" their ears.
!! Info September 2021 !! The Allergan laboratory producing Earfold has stopped marketing the product.
Conventional stitch technique
This technique allows individual ear defects to be corrected. These defects may include folding of the anthelix, hypertrophy of the concha and anteversion of the lobe.
Depending on the complexity of the surgery, it is performed under local anesthesia or under general anaesthetic. In the case of a general anaesthetic, it will be necessary to make an appointment with the anesthesiologist upstream of the intervention.
Otoplasty is a plastic surgery which is generally performed on an outpatient basis. Same-day discharge is therefore possible.
There are 3 main causes of protruding ears. These malformations are often combined:
- Faulty folding of the antherix : lack of relief from the ear outwards;
- Enlarged concha that projects the ear forward;
- Excessive angle between pinna and skull: Helix Valgus.
During the operation, the surgeon cuts the skin at the back of the ear (ear groove). It lifts the skin and reveals the conchal cartilage to theback of the ear then remodels it.
Next, the surgeon positions the pinna with deep stitches. This brings the ear closer to the skull.
Finally, he sutures the incisions and applies a dressing.
- Local anesthesia possible
- Ambulatory (same-day discharge).
- Correction of antherix plication
- Correction of concha hypertrophy
- Day and night blindfold
Your Questions
Frequently Asked Questions in Consultation
WHAT ARE THE SCARS?
In the case of "classic" otoplasty, the scar is hidden behind the ear.
When Earfold implants are used, the scar is hidden. It measures approximately 4 mm.
ARE THE RESULTS IMMEDIATE?
Yes, the results are immediate.
The ear is nevertheless swollen. A bruise may also appear.
We'll have to wait a few weeks to see the final result.
Aftercare is straightforward, and a headband must be worn around the head, day and night, for 1 month.
This prevents recurrence of protruding ears healing time.
IS DETACHED EAR SURGERY COVERED BY SOCIAL SECURITY?
Yes, otoplasty est covered by social security, in the case of psychological repercussions for the patient.
In fact, it's one of the most accessible plastic surgeries, since there's no need to apply in advance or meet with the consulting physician.
Dr. Jérémy Djian is a plastic surgeon based at 5 Square Thiers, near the Victor Hugo roundabout in Paris's 16th arrondissement.
He trained in Paris and remains affiliated with the hospital in the prestigious department headed by Prof. Laurent Lantieri.
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