Hatch Suture Otoplasty
Sometimes the front of the ear sticks out. This can be a component of the ear deformity or as a result of moving the ear in otoplasty pinback surgery. As the ear is being sculpted back towards the scalp, sometimes the top of the helix root (where the scalp and ear meet) protrudes.
The Hatch stitches pull the top of the ear closer to the scalp with permanent sutures attaching the helix cartilage to the deep tissues of the scalp. In most cases this is done as part of the same operation.
Left Photograph: Before otoplasty ear surgery
Hatch sutures pulling the helix cartilage closer to the scalp
Right Photo 6 days after ear pinback surgery
Sometimes this can be done by extending the incision behind the ear. At other times an additional incision is needed at the front top of the ear. The choice of this portion of surgery depends on how the cartilage and ear evolve during surgery. Dr. Bermant prefers to evolve the surgery plan to fit the problem. This is part of surgical sculpting of the ear.
Surgery here can make it uncomfortable wearing eye glasses until the tissue heals. Timing depends on many factors but is often about 2 weeks before eyeglasses can be worn here. Dr. Bermant will advise you when you may start wearing glasses for your specific surgery.