Bermant Otoplasty Plastic Surgery of the Ears
Otoplasty and ear surgery forum, chat, and questions answers by Dr. Bermant.

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Ear Surgery (Otoplasty) and Ear Reconstruction

Explore what others have to say about ear surgery (otoplasty) - pinning the ears back. Learn about ear reconstruction with answers by Dr. Michael Bermant, MD.

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

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

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Ear Surgery (Otoplasty) and Ear Reconstruction

forumVisit our live Otoplasty Ear Surgery Forum and our Plastic Surgery Ear Boards:

Our Ear Surgery Forum Overview introduces the many boards that integrates your learning experience with our Plastic Surgery Encyclopedia. Learn How to Evaluate Ear Pictures to better understand documenting ear deformity and surgical solutions.

Subj: Otoplasty Ear Surgery Question?????????

My ears have always stuck out so far out that i don't wear my hair up in public. Would there be a way that i could have them pushed back or something. Also i have a deviated septum in my nose is there anyway it can be fixed? Is any of this painful any side effects.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Ears that come to far out from the head can look unusual. Some hair styles can cover this problem but surgery is another option. The group of operations for moving the ear into a more natural position are called OTOPLASTY. Surgery is done under local anesthesia unless on a child who needs general anesthesia. The type of surgery depends on what features of the ear make the ears protrude. Only an evaluation by a competent surgeon can help you understand what your options are.

Deviated septums can usually be fixed. The answers to your questions are too extensive to post here so please take a look at my web page and bulletin boards where similar questions have been asked.

I hope this information proves of value.

Michael Bermant, MD

Subj: Re: newborn ears

my wife had twins on 4-15-97 the boy was born with two different looking ears one was small and round and the other was large almost like a Spock *star trek ear it is not rounded and larger then the other in new york area and advice thank you

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Congenital ear deformities are not that uncommon. Without examining the ear, it is difficult to comment what the problem is or what the best recommended treatment.

There is one deformity called a "Satyr" ear and another called a "Stahl" ear both of which have pointed ears that could easily be renamed "Spock" ears. Other deformities can cause such an appearance. Reconstruction, timing of repair, other things to look for are all defendant on the actual problem. You child needs an examination by a board certified physician comfortable with such deformities. This may be a plastic surgeon or an ENT surgeon depending on their skills and experience.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: cauliflower ear

Dear Dr. Bermant,

Could you tell me whether there is a procedure for treating cauliflower ear that you have performed? If so is it available and how successful is it? If not, then would it be possible to enhance the cartridge with a biomatrix, i.e. remodelling the ear.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

A cauliflower ear is a deformity of ear cartilage that obstructs the normal gentle curves of detail. Many different deformities and problems all are grouped under this description. The most common cause is from a traumatic separation of the cartilage from the perichondrium (cartilage covering and growing layer) by blood. The blood organizes into scar and new cartilage forms under the perichondrium which unfortunately is no longer next to the old cartilage. A thicker cartilage lump is thus formed.

Initial treatment often can prevent the deformity by draining the blood and reapproximating the skin perichondrium back to the cartilage removing the potential space. This is done under local anesthesia and sometimes sutures and a large ear dressing are needed.

Once the deformity has occurred, reconstruction depends on the type of deformity. I have thinned down the thickened cartilage and repositioned the overlying skin in cases I have cared for. Actual treatment may vary depending on the problem. I have rebuilt ears that have lost cartilage using framework generated from cartilage taken from other parts of the body. Usually a biomatrix is not necessary.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: picture with ears

Dear Dr. Bermant,

Thanks you so much for your encouraging reply regarding cauliflower ear. I was happy to read that you had treated such cases. My case is not as severe as some of the ones I have see on the web sites. Basically I was playing table tennis and was hit accidently with the bat. This resulted in the deformed ear. This happened at 15 years of age. I am now 29 years old and healthy other than this cauliflower ear.

Enclosed with this E-mail are pictures of my left and right ears. The right ear has the deformity, the left ear is fine. Also as you can see the deformed ear is only on the upper part thus remodelling might be easier. The images are in 24-bit colour uncompress TIFF format. I would be grateful if you could examine them and then reply to the following queries :

1) What are your views in treating my case?

2) How much of the original shape of the ear can be restored to its natural look?

3) You mentioned that you need to reconstructive surgery. In my case do you think you can do remodelling the cartilage in the ear or will you need to take cartilage from elsewhere in the body?

4) How long will it take to return to normal activity?

I look forward to reading your replies. If you cannot view the images please E-mail me.

Thanks for your help.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

My comments were about cauliflower ears in general. Any assumptions that they pertained to your case are incorrect.

Photographs and internet communications do not replace the clinical examination and office consultation. I can not tell what your problem is from the photographs. Ear trauma can result in cauliflower ears, which you asked about, and ear deformity from injured cartilage. Each results in different problems and different treatments. Without knowing what reconstructive options I would recommend, I cannot answer your other questions. The variables are just too many. The best way of treating this problem is prevention, if not possible then early drainage of the ear hematoma has much better results than later reconstruction.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: split ear surgery

hello, i am e-mailing concerning torn earlobes.my second hole in my lobe was torn some years ago. it was stitched back up at the local clinic, but there is such an ovious tear, that i still like to wear large earrings in my first hole to cover it up. it kind of looks like a fold, with a small open notch at the bottom. can you give me any idea on how much corrective surgery would cost? i understand that at first the scar would be hard, but would you be able to see some sort of line or anything? how much would be visible, i guess is what i'm asking? i live near the houston area, and although i really am unable to travel much at this time, i feel quite urgent already about getting this procedure done. i've never even heard anything about it until i found your site. are there any doctors you could suggest in my area who use similar tacticts!?... even though this seems a small thing, it has bothered me immensely over the years. i am forever grateful for any information you have pertaining to any of my questions! thank you! please e-mail me as soon as is possible!

sincerely,

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

The type of scar depends on how the patient heals and how the ear is reconstructed. Some flaps are designed not to leave a straight scar. When I get the time, will add some photographs of patient's results on my pages.

A competent board certified plastic surgeon should be able to help you but I do not know the various methods any particular doctor will use. Good luck.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: ear surgery

I have a friend who is interested in having some very minor plastic surgery- she wants to have her ears pinned back because they stick out. I have heard that it is a very minor thing, but have absolutely no information.

Anyone having any info on the procedure, or can recommend a surgeon in the Boston area, please E-mail me . Thanks.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Otoplasty is a group of operations that are for ears that "stick out". The normal ear extends about 10 mm from the scalp. Several ear deformities can make the ear extend out much further. Each type ear deformity has a corrective method. Some deformities are relatively easy to correct, others are less easy but still not very difficult to correct. Your friend will need an evaluation by someone who skilled in this surgery to advise what operation would be appropriate and how difficult the procedure would be. We have patients who travel a great distance to see us but this operation should be able to be performed locally.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Ear Reconstruction

I am a 25 yr. old male. I had my ear torn off in car accident when I was 18. I under went reconstructive surgery under a Dr. ... of Wheeling W.V. directly after the accident. I went through surgery's for roughly 1 to 2 years after the accident. Unfortunatly, I never finished the whole procedure. As a result of this, I am interrested in finishing what was started. I am looking for a doctor or a referral.

D

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

I offer ear reconstruction. You would need an in office evaluation and examination to find out what your options are.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: infected ear cartilage..the afterlook stinks

hi Dr. Bermant,

i'm a 16 y.o. and i had a piercing my my ear carilage and it became infected and now that it has healed i can feel that that part of my cartilage is missing and it makes my ear flop over and i just hate that. what kind of surgery do you recommend? my doc says to take a bit of my cartilage (from another part of my ear) to put it in. would the rim be smooth? would the outlook be ok? would everything look smooth and natural after that? would i have any scars after that? how long would it take to look normal again? the most important thing is would it look like it had been cut and pasted?! i hope you'll answer me soon. i need this!!! thanks in advance.

e

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Infection can destroy ear cartilage resulting in lost support for the ear. Prevention is better than reconstruction. Trauma from earrings can cause infection. Once there is loss then the patient should learn about reconstruction.

Without examining you, I cannot comment about your very specific requests. Your questions are very reasonable but should be directed to the doctor who has had a chance to evaluate your condition. Depending on the problem being addressed, the method the doctor chooses, and the skill of the doctor, ear reconstruction can improve many deformities.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Earlobe tear

My nine year-old daughter ripped her earlobe this evening and she is deeply concerned about how it will look when it heals. From what I understand, the tear my have started several weeks ago, so I am concerned that the tissue obove the bottom of the lobe has already healed. Is plastic surgery the only option to repair the damage? I have been out of work for a long period of time and am concerned about the cost. While I am currently working, I still struggling to get caught up. How much does such surgery typically cost?

We live near Boston.

Any help and/or advice you could give would be greatly appreciated.

Sincerely,

J

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

I would also be concerned how my earlobe looked if torn. As discussed on my web pages, earlobe deformities are treated with various surgical approaches depending of the degree of the problem. Our office fees for a typical defect depend on the complexity of the repair. Basic price information $ can be found here. Without an examination, I cannot be more specific.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Otoplasty

How much does otoplasty cost? (Typical range) What are some of the worst complications you have seen with this procedure? I am 25, would it be more difficult because I am older? Are the scars noticeable?

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Otoplasty is surgery to correct the ears to a more natural position. You can find my surgeon's fee for this operation here. An older patient is easier to do since local anesthesia is a real option as is after surgery cooperation. The cartilages are a little harder to deal with, but it depends on the type of ear deformity you have. Since all growth has already taken place future growth is not a factor. Depending on the type of deformity, the scars are usually behind the ear. Sometimes cartilage deformities show through the front on some types of deformity correction. I have not seen terrible complications with this surgery. Typical complications from otoplaslty include asymmetry, deformity recurrence, infection, and scars. A more thorough discussion occurs in my office consultation.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


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