Bermant Otoplasty Plastic Surgery of the Ears

Big Ears (Macrotia) and Ear Reduction Otoplasty - Photographs During Surgery

Otoplasty Cosmetic Surgery to Make Smaller Ears.

Michael Bermant, MD
Board Certified by the
American Board of Plastic Surgery

Home otoplasty for macrotia large ear reduction
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Explore surgical details - macrotia (big ear deformity)

This is a group of congenital ear deformities where the ear is actually too large. True macrotia (large ears) are rare. Different parts of the ear may be enlarged. The surgical solution depends on the deformity. There are many surgical options. If you are looking for Dr. Bermant's advice, please call to set up a consultation. After an evaluation, we can better help you explore the options for this surgical sculpture.

This specific case needed all major elements of his ear reduced to maintain balance. There was no one offending enlarged segment. The surgical plan permitted Dr. Bermant to maintain the harmony of the ear and hide the scars as much as possible. There can be many ear sculpting techniques needed for any one ear reduction patient. More detail about the patient can be found here.

Macrotia can be a complicated operation. Ear surgery takes about 3 to 6 hours. Hair does not need to be shaved for this operation.

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Surgery Elements for Macrotia Ear Reduction Surgery Can Vary Depending on the Problem to be Treated.

concha floor macrotia big ear reduction otoplasty

Concha Floor Reduction
Cutting a wedge from the concha bowl reduces its height. Dr. Bermant hides the incision in an anatomical fold of the ear.

posterior concha ear reduction otoplasty for macrotia

Concha Post Wall Reduction
Removing an ellipse of skin and cartilage here reduces the projection of the remaining ear.

antehelix otoplasty ear reduction for macrotia

Antihelix Reduction
When the concha is reduced, some of the antehelix must be removed. This is a compromise and there is no anatomic feature to hide the scar.

scapha reduction otoplasty for macrotia or big ears

Scapha Reduction

Removing an ellipse of skin and cartilage can shorten a long scapha fossa. See more details of a Reduction Scapha Otoplasty. for an ear with a disproportionately large scapha.

helix otoplasty ear reduction for macrotia

Helix Reduction
When other elements of the ear are reduced, there will be excess helix rim.

concha repair and setback macrotia surgery Concha Repair and Setback Dr. Bermant then sculpts the concha bowl defect. The ear can be set back closer to the head with sutures.


Below are Photographs During Macrotia Ear Reduction Surgery

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The following Macrotia Reduction Otoplasty Pictures on this page are graphic in nature. Please skip if explicit surgical details bother you.


Otoplasty surgery actual photograph in the operating room for large ear reduction or Macrotia

Surgical markings are difficult to show in a single photograph. Since this is a 3 dimensional problem, several views are needed to demonstrate the operation.

The markings of the back wall and floor of the concha are hidden on this view.

Picture of ear surgery dividing the helix from the antihelix for macrotia ear reduction otoplasty. Photograph of the initial incision at the helical rim (helix) for macrotia ear reduction
Photos of ear during otoplasty surgery for macrotia reduction for huge ears Photograph of access behind the ear from the helical rim incision for ear reduction surgery

Surgical sculpture begins elevating the rim of the helix and exposing the deep tissues behind the ear. This exposure is necessary to fold the ear closer to the scalp with a concha set back for this patient. The cartilage in the rim retains its blood supply from the skin behind the ear.

Photographs of Macrotia Surgery
macrotia big ear reduction otoplasty ear reduction otoplasty for macrotia otoplasty ear reduction for macrotia reduction otoplasty for macrotia or big ears otoplasty ear reduction for macrotia macrotia reduction concha repair and setback
Conchal Floor Reduction Conchal Post Wall Reduction Antihelix Reduction Scapha Reduction Helix Reduction Concha Repair and Setback

Continue with surgical details of Macrotia Reduction

Patients have easy access from Washington,Fairfax,Alexandria,Fredericksburg,Williamsburg,Newport News,Hampton,Virginia Beach,Lynchburg,Roanoke,Charlottesville,Rockville,Richmond,Charlotte, and Raleigh.

Macrotia Reduction

Otoplasty Ear Surgery

More plastic surgery ears for deformed ears
(Warning graphic images.)


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This page last updated on: January 10, 2013

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