What we can improve.
Prominence may come from a poorly defined fold, a prominent concha—the central part of the outer ear—or a combination. There may also be differences between the sides. Examination identifies which part would benefit from changing.
Treatment can be considered for adults and for children when ear development and their ability to cooperate allow it. With children, it is important to listen to how they feel and experience the situation; the decision should not be based solely on an adult's preference.
Options and scars.
Through an incision usually placed behind the ear, the cartilage is reshaped and its folds adjusted with sutures. In some cases, the concha is also modified. The two ears do not always need the same work.
Surgery may take place under local anaesthetic, with or without sedation, or under general anaesthetic, according to age and the procedure. I will explain which features can be changed and where the scar would sit. Small natural differences between the ears are considered when seeking balance.
What recovery involves.
The first few days
Pressure, tightness and bruising may occur initially. The dressing protects the shape and is checked for an appropriate fit. A headband is then often used as advised, particularly during sleep, to prevent the ear accidentally folding.
Returning to your routine
Work or school may be resumed after approximately a week if you feel well and the area is protected. Avoid knocks, pulling and direct pressure during sleep. Contact sports and activities that risk injury to the ear need a longer wait, often six to eight weeks.
How the result develops
Swelling gradually decreases, and sensation may take time to return to normal. Follow-up checks the sutures and scar and adjusts headband use without applying excessive pressure.
Safety and possible risks.
Planning aims for a balanced shape while protecting the cartilage and skin. Clearly increasing pain or sudden swelling beneath the dressing needs review to rule out a collection of blood or infection.
Some differences may remain, a thick scar may form behind the ear, or an internal suture may become visible and need treatment. Cartilage can partly return towards its previous position over time. We will discuss these possibilities before surgery and monitor progress, particularly if you have a history of raised scars.
What we will discuss.
- Which part of the shape concerns you.
- Whether one or both ears should be treated.
- How to adapt glasses, sleep and sport.
Frequently asked questions.
Can just one ear be treated?
Yes, when the difference allows it. We assess both to decide whether correcting one side is enough or whether a further adjustment would improve balance.
Does it change hearing?
Cosmetic otoplasty treats the outer ear and is not intended to improve hearing. Hearing symptoms need their own assessment.
When can I wear glasses again?
This depends on where they rest and the wound. Their support may need adjusting during the first few days to avoid pressing on the scar.
Keep exploring.
Revisión inicial del contenido: Dr. Luis Martín Suárez · 2026-09-13
Timeframes are a guide. The technique, suitability and aftercare are agreed during consultation according to your case and progress.