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Revision Otoplasty after Complications of Cosmetic Ear Surgery

Explore what others have to say about revision ear surgery (otoplasty) - revising ears after prior surgery.

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

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Revision Otoplasty Surgery of the Ears

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Ear Reduction Revision After Otoplasty - Travel From Canada

Since i was born, my ears were sticking out and were a bit big. I had an operating to stick them back as much as possible but my "stupid" surgeon messed up. He pin back one ear alot and other one was still half sticking out. Also since my ear were large , when they were pin backed to my head they seemed even larger. So i had 2 problems now, they werent asymetric, one was sticking out more than the other, they were both too big.

Then i had a second operation but this time just to correct the left ear so it stops sticking out. He pinned i back a bit, but it still sticking out more than the right now. Also note that both those operations were FREE because i reside in canada and the government pays for any operation under 18 years of age.

Any how, now i have a problem, both ears are too big, and the left one is sticking a bit out. I don't know how you would resize an ear to make it smaller? How would you do that? remove the lob?

One more thing, is it possible to make an operation in the U.S? if im not an american? Also ,i'm tired of having long hair, i want to shave it to zero but i can't unless i fix those ears! contact me ASAP about my problem

thanks

Dr. Bermant responds:

There are many types of deformities possible after otoplasty ear surgery. Repeat otoplasty options depend on the current deformity, the original problem, and the prior surgery. Ear shape is from cartilage. This is a fickle material that can have a mind of its own. I need to examine such problems preferably in person in order to provide advice. Previous operative reports, doctor's office notes, and photographs before surgery are can be helpful during the in office consultation (when available). We see patients from around the world and have reasonable prices. Call our office if you would like to learn to set up a consultation.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Ear Revision Over Pulled Back Ear After Otoplasty - Travel From Canada

I recently (4 months back) had a otoplasty procedure performed. I stumbled upon this website and was very impressed with Dr. Bermant's work. The ears look very uneven, the surgeon pulled one ear extremely back, and the other one to a normal length. The one that has been pulled back excessively makes my face look very uneven and takes away from the over all look. I was wondering if Dr. Bermant could offer an answer solution regarding the excessively pulled back ear. Is it at all possible to push it down and at least be partially even with my left ear? what options do I have? I would love to meet you for a consultaion but currently this is not possible, I rather discuss via email whether anything can be done and then meet. Thank you so much for you're reply in advance.

Dr. Bermant responds:

Releasing an over folded antihelix can be part of Revision Otoplasty. Sorry, our discussions are either in person or by telephone as part of our Preliminary Remote Discussion. The education process is just too complex to manage by email alone.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Uneven Ears After Concha Bowl Reduction - Travel From Ottawa Canada

I had bilateral conchal bowl setback performed last week, and although I notice an improvement in terms of how far my overall ears stick out, the tops of my ears protrude more than the middle to lower portions. The doctor who performed the operation simply removed a portion of the conchal bowl, but did not correct the upper portion. I told him this after he finished the first ear and he informed me there was nothing he could do to correct the top protrusion. Is there anything I can do? Although minor, I think that the whole ear should have been corrected. I am feeling quite disappointed.

L

Ottawa ON, Canada

Dr. Bermant responds:

A Concha Bowl Reduction of the back wall can bring an over projecting ear closer to the head. Unfortunately each element of the ear needs then to be brought into balance. This is why I prefer my Dynamic Technique Otoplasty Ear Plastic Surgery where I blend different elements for each ear sculpture. We are glad to help you learn about your options during a consultation or Preliminary Remote Evaluation.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revise Deformity After Otoplasty

I underwent an otoplasty a few months ago, which for the most part was successful.

The only slight disappointment though is that 1 ear was left with an angled hanging out look (i.e. \ instead of I ). This was due to extra stiff cartilage present at the top of the ear, forcing it out further. My surgeon didn't remove any of this during the operation,and now that I have pointed it out to him, he says there's nothing he can do about it.

Looking on your website, I see that there is a 'hatch-suture' procedure for this case, where the top of the ear is stitched a bit closer to the side of the head. Is my surgeon right in that this can't be done with very stiff cartilage, or should he still be able to do it?

I appreciate that you can't see my actual ear to be able to assess it, but in general what do you find in these situations (i.e. can you sometimes do it and sometimes can't).

Thank you very much for any feedback you can give, as my ears would look fine at long last if it was just for 1 small adjustment.

Yours sincerely

Dr. Bermant responds:

When I am faced with stiff cartilage, I try to use weakening techniques. However, each case is different.

You are right, without better understanding your specific problem, it is very difficult to comment. We do analyze patients after other physician otoplasty surgery. At the time of the analysis for Revision Otoplasty, we prefer copies of the doctor's office notes, operative report(s) and when possible photographs from before surgery. If you were going to start with our preliminary remote package, I would also need standardized images from after surgery. There is a fee for this process. The in office examination helps me better understand other aspects of the problem such as the feel of the cartilage not conveyed by image analysis.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Evaluation After Otoplasty Ear Surgery by Another Surgeon

Good Day
I had ear surgery to pin back my ears last month. My right ear still seems to potrude. I therefore want to make an appointment with you to examine it. My surgeron tells me its due to swelling but i am hesitant to believe him because the swelling went down after 7 days. I therefore want to make an appointment with u. please advise me thanks

Dr. Bermant responds:

The angle of the ear in many cases is set at the time of surgery. It depends on the problem and treatment. There are many types of surgery and each has typical recovery aspects. Yes, we offer second opinion consultation. For someone who has questions about a recent operation, we like to also review operative reports, office notes, before surgery photographs whenever possible. To make that appointment, please call my office during normal office hours (M-F 9-5 Eastern Time).

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty Elf Deformity - Travel From Los Angeles California

Hi Dr. Bermant,
My name is A, and I had otoplasty surgery a couple years ago where I live (Los Angeles, CA). Unfortunately, the surgeon who performed the operation brought back the middle portion of my ear, leaving the tip (the helix) sticking out, almost making me look like an elf. I asked him about it, and he kind of implied that there was no way to fix it, which of course left me very upset. I am emailing you because I have been researching my problem for a while, and it seems every search I do links me back to your website, where you extensively describe the otoplasty procedure. My question to you is, do you think this problem is possible to fix (that is, place the helix/helical rim flatter on my head)? If so, is this something that most facial plastic surgeons should be able to do, or is this a more difficult correction? I feel like I'm the only who who has this problem. Any information or advice you could provide would be greatly appreciated.

Thank you,

A

Dr. Bermant responds:

Balancing the different elements of the ear during Otoplasty Ear Surgery is an Artistic Sculpture. Revision Surgery may be an option. We see many patients from Los Angeles CA and around the world who prefer my techniques. Most of our California patients start with our Preliminary Remote Discussion to minimize travel to Richmond.

If you are interested in learning more, Jane is my office manager. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty for Physician - Travel From New York

Dear Dr Bermant,

I underwent an otoplasty procedure in August (almost six months now). The major cosmotic problem in my ears was bilateral prominence with asymmetry. The procedure was successfully done by a plastic surgeon in New York City without any postoperative complications. In the beginning, I was very happy with the results of the procedure as the ears were pulled back and the asymmetry is corrected. An incision was done in the back of the ears, the cartilage was folded and permanent internal sutures were placed. However, I started to notice that there is residual prominnence or "droops over" in the upper portion of the ears. I presume that the reason why I have the problem is that the type of otoplasty I had (permanent sutures) which pulls back the concha of the ear, but cannot correct the upper portion - the pinna. I didn't feel comfortable to go back to my first surgeon to rectify this problem as he didn't do something wrong. He performed the otoplasty perfectly and he managed to correct the prominence but I believe he selected the wrong procedure. Therefore, I am seeking the opinion/expertise of another surgeon for additional surgery for the upper portions.

To correct the upper portions, should I undergo a revision of the entire procedure I underwent?

Please let me know if I can meet you to hear your opinion in my case.

Thanks a lot.

--, M.D.

Dr. Bermant responds:

Concha Bowl Set Back Otoplasty alone can leave other elements of the ear unbalanced. That is why I prefer my Dynamic Technique Otoplasty where I blend various elements of my artist's pallet of ear shaping tools that can vary from patient to patient and from one side to the other. Mustarde Sutures are one possibility to bring the upper auricle back. Sometimes only a portion of the sculpture needs revision, at other times more needs to be done.

We see many physicians from around the world who prefer my techniques and are glad to help you explore your options during a consultation or a Preliminary Remote Package. Jane is my office manager and can explain the process. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty to Reverse Prior Otoplasty - Travel From New York

hi dr. bermant,

I am a california resident currently in New York. I had gotten otoplasty at the end of February in california. Ever since i had gotten this surgery, i have been extremely depressed. The main reason I got this surgery was because my job, theatrical reasons. Though, i was always fine with my popped out ears. More so, I liked them. it was what made me different and unique. I looked at your website and you look very skilled in this genre of surgery. I was wondering if you could by any chance undo the sutures behind my ear so they are back to how they were before. Basically what my previous surgeon did according to him...was that he pulled back the skin and removed cartilage from my conchal bowl on my right ear and no cartilage from behind my ear...though, he did not touch my antihelix...so my ears lope out at the top. my right ear looks like an elf ear...is this possible to fix? i am looking to travel to virginia around december. I would greatly appreciate if you can give your approach to my problem. thank you so much.

sincerely

j

Dr. Bermant responds:

It can be hard to unring a bell. Options for Revision After Prior Otoplasty depend on the original problem, what was done, and how you healed. Sometimes revision otoplasty to balance the elements of the ears can help. Sometimes some release is possible. We are glad to help you explore your options during a Preliminary Remote Discussion or an in office consultation.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty to Reverse Over Pinning - Travel From New York

Hello from New York!

I came across your website a few days ago and I found it very interesting and educational. I am particularly interested in correction of the previously done otoplasty procedure which took place more than 15 years ago (by the way, I'm 37 years old now). I had my ears pinned back, but they were pinned too close to the head. I read on your website that it is now possible to have them positioned away from the head using special methods and I wouldn't mind making them a little bit smaller at the same time. I only need a small adjustment, I am really not looking for a radical change. I would be interested in making an appointment to come to your office for a consultation in early May. I suppose we will both know more about the whole thing afterwards. Please write back to me if this is possible.

Thanks!
Sincerely,
D.

Dr. Bermant responds:

Revision Reduction Otoplasty requires enough remaining blood supply which can be a factor after previous ear surgery. Bringing the ears out after over pinning may be an option. We are glad to help you learn about your options. Jane is my office manager. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty - Travel From Long Island, New York

Hi, this is D, I am 21 years old and I'm from Long Island, NY. Last May I had my ears and nose done by a surgeon in New York. I am not really happy with the results from either procedure. I should have looked you up before I made my decision with him. My ears don't stick out much but it does at the helix a little. I have a question about the hatch stitch. If the hatch stitch is put in how can the ear be moved so a haircutter can cut the hair close to the ear and behind it? Is there an alternative method to keep the top of the ear back without putting in a hatch stitch? My first surgeon did not put a hatch stitch in. I would like to have my ears done again and revision rhinoplasty preferably in June. Also, how do you normally conduct consultations with patients from out of state?

Thanks for your time Dr. Bermant and I'm looking forward to your response.

Dr. Bermant responds:

The Hatch Stitch for Otoplasty can bring the anterior upper helix closer to the scalp. With my Dynamic Technique Otoplasty, I pick from a number of possible options depending on the deformity to be treated. We see many patients from New York and around the world who prefer my skills and are glad to discuss your concerns during a consultation or Preliminary Remote Discussion.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Unhappy After Another Doctor's Otoplasty

Hello.

I recently had the otoplasty surgery. Unfortunately I am not happy with the results and don't really notice much difference.

The operation had no problems nor had anything gone wrong in the post state of the operation, however, I'm still not happy.

I was wondering if this is common, can the ears be worked on after already going through an operation, is there a bigger risk that there will be future problems and also as much information on the subject as possible.

Thanks very much!

Dr. Bermant responds:

Otoplasty pinback surgery is an art form. Blending the various elements of ear sculpture can be difficult. With any cosmetic surgery, realistic expectations are an important element in a happy outcome. Sometimes revision otoplasty surgery can help. Secondary surgery can be more difficult since tissues have already been altered. Such issues are best discussed during a consultation after an evaluation.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision of Deformity after Otoplasty - Travel from Cincinnati Ohio

Dear Dr. Bermant,

My name is M. I'm an intern (preliminary medicine for radiology) in cincinnati, oh. Two years ago I had surgery to my left ear for a slight fold in my ear (triangular fossa?). I certainly understand that surgical outcomes vary and are never ideal, but unfortunately my outcome took a slight assymmetry to a total deformity. The result has left me with no choice but to wear my hair long (which I hate). I can't believe how this has destroyed my self-esteem and created a self loathing. I truly am desperate, but as a physician myself I know that my ear will never be ideal. I just want it to look presentable, not this monstrousity that always is noticed. As you know, with internship time off is never easy to obtain, but I'm definately willing to come to Virginia and meet with you. Thanks for your time and wonderful website. I hope to hear from you soon.

M

Dr. Bermant responds:

Revision Otoplasty options depend on the original problem, what was done, and how you healed.

We see patients from around the world and are glad to help you explore your options during a Preliminary Remote Discussion where we evaluate medical information and standard photographs of the current problem before your travel to Virginia. When possible images of the ears before surgery, prior operative reports, doctor's office notes can help during this evaluation.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Reverse Revision Otoplasty

Dear Dr. Bermant:

About five years ago I got my ears pinned back. I had asked the doctor to barely push them back but somehow he didn't follow my specifications, and now I am living in torment because I am more bothered by them (my ears) now than ever before. I was told by a couple of doctors that ear pinning is reversable, can you enlighten me on this? I would love to reverse them even slightly, please advise me on this.

R

Dr. Bermant responds:

The nature of cartilage makes otoplasty an inexact art form. Subtle ear correction is possible for many problems. Revision ear surgery can help some ear deformities after otoplasty. We are glad to help you explore your concerns during a consultation or Preliminary Remote Discussion.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Repeat Revision Otoplasty - Travel from Belgium and Europe

Dear Dr Bermant,

Having learned about your practice through internet I'm writing to you to inquire about the possibility of ear reconstructive surgery.

I'm a Hungarian citizen residing in Belgium, therefore I recognise that consultation via email is difficult. I've read about the preliminary consultation package and I would be interested in the steps to follow.

Just briefly I would like to tell you about my case: I've had a very disastrous ear surgery in my country which resulted in a huge unevenness between my two ears, and 7 years ago I had another one for correction but the result is still very unbalanced. I'm trying to to find a surgeon who might be specialised enough to deal with it. I will attach some photos in advance hoping that you can tell if there is hope and if it's worth continuing.

Looking forward to hearing from you.

Yours sincerely,

E

Dr. Bermant responds:

Revision Ear Surgery may be an option, however, each subsequent operation can be more difficult from scars and thickened tissues. We see many patients from around the world and are glad to evaluate standard photographs as part of our Preliminary Remote Discussion. There is a fee for this service.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty - Travel from Taiwan

hi,
i am 8 days post ops from otoplasty in taiwan and i don't like the result. attached is the picture, there is a hard and sharp bump on the left ear where it bend in ( see arrow) how long do i have to do wait to do a revision with you?
thanks

Dr. Bermant responds:

8 days is very early after some ear surgery techniques. Tissues need to heal and evolve typically before any considerations for Revision Otoplasty Surgery.

We are glad to help you explore your concerns during a consultation or preliminary remote discussion.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty - Asian Male

Dear Dr. Bermant,

I am a 19-yr old Asian male. I have a protruding left ear which had been operated on last year, but the result came out rather disappointing since the lower part of my left ear is still prominent (the concha sticks out) So, what I would like to ask is: Is it possible to work on an already operated ear? If so, can the prominent concha be fixed? Attached is my left and normal right ear.

Thank you very much.

Sincerely,

S

Dr. Bermant responds:

Prior surgery can interfere with the blood supply. Options depend on the original problem, what was done, how you healed, and other factors that we are glad to help you explore during a consultation or preliminary remote discussion. Concha Bowl Revision Otoplasty may be an option.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Revision Otoplasty - Telephone Ear Deformity

Hi dr. Bermant,

I'm writing to you in order to get an second opinion. I'd be very thankful if you could take a look. Anyway, I recently had ear pinback (a bit more than a month ago), but im not happy with the results at all. If you take a look at the before/after images which I attached to the email, you can see that the right ear (left on the image) has quite big "telephone ear deformity", however the left one seems to be quite okay, if compared. The earlobe on right ear makes it also a bit longer (from lenght), than the right (on before pictures, the ears are symmetrical). And because of the overcorrection of middle section of right ear, the left ear "seems to be protruding more" as well. Do you have any suggestions what could be done to fix this problem on right ear? Is it possible to release the middle part of right ear a bit, and also set back the earlobes on both of ears? How long about should I wait until having an overcorrection surgery?

Thanks in advance, R

Dr. Bermant responds:

A Telephone Ear Deformity can often be revised by rebalancing the elements. We are glad to help you explore your options during a consultation or preliminary remote discussion. Jane is my office manager and can explain the process. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

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