Can I Get A Partial Reversal Otoplasty?

Q: Dr. Eppley, I had an otoplasty but it resulted in my ears too pinned back and i don’t like it and my surgeon said the reversal is not possible so i’m looking for a solution even if my ears can’t be reversed to the original place completely 

Also almost 10 years ago i had a genioplasty to get my chin augmented and balanced and i liked the result. However the surgery also created a more feminine and pointy look which i don’t like and wish to get my chin more masculine. 

Here in turkey most doctors use intraoral cut to place an implant and they don’t have custom implant options but i prefer a cut under my chin and prefer custom implant also. 

These are my two man concerns, thanks in advance 

i m looking forward to hearing from you

A: Thank you for your inquiry and sending your picture to which I can make the following comments with attached imaging:

1) A subtotal otoplasty reversal is very possible. The key is when the ear is released from behind it requires an interpositional graft to hold it out….otherwise it will just heal back into where it was very quickly. For this graft I use cadaveric (tissue bank) rib cartilage)

2) Many chins become more narrow when they are advanced by a sliding genioplasty. Making a custom square chin implant cap to fit over the bone can make it as square as you like. You are correct in that placing it using a submental incision would be the best way to do it.

Dr. Barry Eppley

Indianapolis, Indiana