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Prominent ear

Otoplasty – prominent ear

Prominent ear is a common congenital malformation, with an incidence of about 5%. Commonly it is associated with a protrusion of the ear and the absence of characteristic folds (anti-helix). The ears look deviated or separated from the head. It can be unilateral or bilateral.

Despite benign physiologic consequences, numerous studies attest to the psychological distress, emotional trauma, and behavioral problems this deformity can inflict on children.

The surgery performed to correct prominent ears is the otoplasty. It can be done in adult or children. It should be performed between 4 and 5 years old. At this age, the ear has already reached a significant part of its growth and the child has not yet started school (avoiding future psychological consequences). Child must have enough maturity level to cooperate with postoperative instructions and restrictions.

Technical points

Incision: Retroauricular (behind ear)

The surgical procedure takes about 1H30.
It is performed under sedation and local anaesthesia.
It can be performed on outpatient basis.

Postoperative care


  • Acetaminophen or ibuprofen for routine pain control
  • Antibacterial ointments application

3 to 6 weeks


  • Professional activity or school after 2 days
  • Heavy lifting or playground after 3 weeks

Complications and surgical risks

It is considered a safe procedure with low complication rate. It stands:

  • Hematoma
  • Infection
  • Chondritis (cartilage infection)
  • Late deformity


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