Bermant Otoplasty Plastic Surgery of the Ears

Hatch Stitch - Pinback ear surgery otoplasty

Pulling the front of the ear's helix closer to the scalp.

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

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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.

Hatch sutures may be needed to pull the helix cartilage closer Hatch stiches pull the helix closer. Ear cartilage closer from hatch suture.

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.

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

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This page last updated on: January 10, 2013

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