Q: Dr. Eppley, I am interested in an otoplasty revision and Macrotia reduction surgery. I did an otoplasty to pin back my massive protruding ears some ten years ago but have never been happy with the results. I’m a perfectionist and considering a revision surgery that would reduce the size of my big ears and lobes greatly and more setback – making them closer to the head and ear reshaping too, so quite a complex surgery. Please review my photos and let me know if you can kindly help me. Thanks.
A: Thank you for your inquiry and sending your pictures. Your otoplasty result shows substantial room for improvement and your congenital macrotia was never addressed. Your ears are not set back quite far enough and both the earlobes and the superior third of the ear are too vertically long. So I don’t think you are a ‘perfectionist’ per se about your otoplasty result.
An otoplasty revision can be done to bring your ears closer to the side of your head. They still remain too far away with an enlarged auriculocephalic angle. Your macrotia reduction can be done by a combiantion of a helical rim earlobe reduction with a scaphal flap reduction superiorluy.All of those ear reshaping changes can be combined in one single procedure.
Dr. Barry Eppley