Bermant Otoplasty Plastic Surgery of the Ears
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Secondary Otoplasty or Revision of Cosmetic Ear Surgery

Explore what others have to say about revision ear surgery (otoplasty).

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.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
    • professionally
  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Secondary Otoplasty Surgery of the Ears

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.

After Otoplasty Surgery One Ear Sticks Out

I recently had otoplasty to correct protruding ears. One of the ears still sticks out, and the interior of my ear (concha) protrudes and looks like I have a hearing aid. The doctor I had do this says I shouldn't try to fix the problem, that I can just wear my hair over my ears. But the whole reason I had this surgery was so I could wear my hair in a ponytail! The other ear has wrinkles in it from the surgery. Are these things that can be fixed? In other words, can you shave the concha down so that it looks natural? Can you fix the other problem where the ear w/ the concha problem doesn't lay back as much as the other, and then the wrinkle in the other ear?

I look forward to your feedback!

Dr. Bermant responds:

There are many types of deformities possible after otoplasty ear surgery. Surgical 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).

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Not Satisfied After Another Doctor's Otoplasty from San Antonio Texas

Dear Dr. Bermant, My name is J--; I am a Physical Therapist in San Antonio. I found your site just searching on the internet. I am very impressed with your experience in Otoplasty surgery. I received this surgery just 6 wks ago and I am not satisfied. The surgeon was a great listener and sympathetic to my lifelong problem, and he assured me that he could produce the results that I wanted. I am 41 yrs old-- he did not soften the cartilage, did not correct for asymmetry, left my lobes too protuberant, and in only 4 wks, the antihelical folding has released some. The conchal pinback seems to have been satisfactory, though one ear is still more protuberant. I have spent alot fo money and my goals have not been met. I know that his experience was limited in this surgery, but I trusted him because he assured me of his excellent "hands" , and that he was gifted. He had never heard of the Hatch technique which I felt may have been necessary. When I look in the mirror, I still long for another result. I am interested in consulting with you, but distance and expenses are obviously an issue. Do you have any suggestions or advice for those of us that need to travel long distances. How many visits, and how long would I need to stay after surgery? Could a local surgeon remove the dressing and stitches? I will be very appreciative of your answers to my quetions. I look forward to hearing from you. I can send you pictures if you like. Thank you. Sincerely, J

Dr. Bermant responds:

Six weeks is rather early after ear surgery and tissues can evolve. However, I prefer an ear to be as close to the final shape as possible at the time of my initial sculpture. There are many possible methods to sculpt an ear that must be chosen by the surgeon depending on the needs of the ear's tissues.

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).

For those traveling from far away, we prefer preliminary information, photographs, doctor's records, and actual test results when available. We also have a preliminary remote evaluation, but this is only an introduction to what an office examination can provide.

Images may be compressed JPEG files or actual photographs. Standard views can be found here. There is a fee for our helping you explore your options.

Otoplasty surgery needs to be booked in advance. Since travel for you is a major concern, you will probably like our preliminary package. That way you can explore your options with preliminary information, have a telephone discussion and then book your surgery. Such surgery can take place the day after the real in office consultation (when booked in advance). Stay after surgery is usually until the next day. The formal ear dressing should be removed by me and this is done after surgery day three to day six (depending on what was done). I prefer to perform my own suture removal which is usually day six or seven. In some cases we can use absorbable external sutures. Many patients find visiting Richmond convenient for their surgery. After surgery many have traveled to surrounding areas like Washington, DC and then they return for the after care. Others find staying here inexpensive and reasonable.

After evaluating the material we can have a preliminary discussion by telephone and answer some questions. This does not replace the in office consultation and evaluation, but seems to be appreciated by those who must travel long distances to see us.

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
Board Certified
American Board of Plastic Surgery

Revision Otoplasty Surgery - Houston Texas

Hi Dr. Bermant!

My name is N, and like many other people I am sure you have heard from, I was born with protruding ears. I am 27 years old and consider myself to be an attractive person, however, my biggest insecurity has always been my ears. I finally had an otoplasty done here in Houston, Texas (where I live) on October 24. I was so excited about this procedure because it was going to change my life! Well, after my doctor removed the bandages, I could immediately see that the shape of one of the ears was odd, the lobes of both ears still protruded and the fold he created on my right ear (which protruded more to begin with) was thick and big. I know two ears can't look exactly alike, but my ears look like they belong to two different people. So, needless to say, I was not satisfied with the results and neither was my doctor. So, he said he needed to put a couple extra sutures in the bottoms of my ears and I had this done on December 14. My ears looked great for the first couple of days, and then BAM, they were back out. Again, I was very shocked and now feel misled as to his abilities to perform this procedure. He again told me I could come back in March and he would "tweak" them again and then they would look great. Well, I am scared to do this procedure again with the same doctor, because he obviously doesn't know what he is doing, so I have researched for about two months now, and you, BY FAR, seem to be the best doctor for this procedure. That is very evident from your website. I would love to have ears like those on your website and would greatly hope you would consider. If I am going to have to have a total revision, I want it to be done by you, an expert, even if I have to travel all the way to Virginia:) I have attached pictures from after the original surgery in October, and then the adjustment in December. Let me know if you think you would be able to help me. I appreciate you taking the time to consider this and I look forward to hearing your expert opinion. If you would be able to help me, I would like to set up a consultation.

Thanks,
N

This picture is after the ORIGINAL surgery in October:

Dr. Bermant responds:

Otoplasty Surgery is an art form, not all doctors have the same skills nor use the same techniques. We see many patients from Texas and around the world who prefer my techniques and are glad to help you explore your concerns for possible Revision Otoplasty Ear Surgery. Copies of the previous surgery operative reports, doctor's office notes, and images before surgery can all be of great value to understand your options at the time of your consultation or preliminary remote discussion. Jane is my office manager and will be glad to 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 Surgery - Dallas Texas

Dr. Bermant

I ran across your website and found it especially helpful. I was wondering if you could answer a couple of questions for me. I am a 30 year old male and had a otoplasty when I was 16, just to pin my ears back, but probably should have also had my helix rim treated similar to your Antia Bush Helix Rim Slide.

In the last 2 years the upper portion of my ear seems to be folding out and I would like to have another procedure, ideally similar to the one you performed on your site, this time treating the lack of a rim. I currently live in Dallas. Are there numerous surgeons that can do this procedure, or is this very unique and specialized? I could come to Richmond, but it would obviously be easier to find a surgeon in Dallas. I was just wondering your thoughts on this and if you had any surgeons you would recommend in Dallas. I really appreciate your help as well as your website. Thank you and I look forward to hearing from you.

R

Dr. Bermant responds:

Sorry, we are not a referral service but do see many patients from Dallas Texas and around the world who prefer my techniques. Options depend on the original problem, what was done, and how you healed. 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 After Otoplasty Ear Surgery

I would like to know if permanent sutures inside an ear can be safely removed. I would also like to know if they would complicate a second ear surgery should I deceide to have one. I think your work looks excellent.

Dr. Bermant responds:

Thank you for your kind words. Permanent sutures are placed not to be removed in otoplasty surgery. It depends on what the reason they have been placed, the type of suture, and how long they have been there. Such issues are best explored during your consultation. There is much to learn about otoplasty surgery. Although we have an extensive introduction on the web, the office consultation is the best place to explore such issues. Hope this helps.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Not Happy After Another Doctor's Otoplasty

Hi,
I have had otoplasty performed before and are not entirely happy with the restults. The ears still protrude a fair bit and the surgeon has not met my
expectations. The results are minimal. I was wondering if a second operation is very common and what is the fee for the surgery.

I know without a consultation it is hard talk about expectations but any information would be most helpful.

Thank You
T

Dr. Bermant responds:

Ear surgery is a sculpture with a fickle material. I try to design my otoplasty to be a single stage operation whenever possible. Your options will depend on the original problem, what was done, how you healed, and your expectations. We help our patients explore such issues during their consultations after an evaluation. Previous operative reports, doctor's office notes, and photographs before surgery are can be helpful during the in office consultation (when available).

Costs depend on what needs to be done. Sometimes revision otoplasty is a small touch up or a major revision having to essentially redo the entire otoplasty on tissues that have already been operated upon. We need to know more about your problem before discussing fees.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Re: Revision Otoplasty

Dr Bermant, I find your site very helpful. I had my first otoplasty surgery 8 months ago.The doctor did an unsatisfactory job. How soon is too soon to alter my ears? Thanks, J

Dr. Bermant responds:

There are many types of deformities possible after otoplasty ear surgery. Revision Otoplasty Surgery options depend on the current deformity, the original problem, your healing, 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).

Typically we like to wait until tissues soften after prior surgery. Time can vary from patient to patient but typically is about 6 months or more. We are glad to help you explore your concerns about ear surgery during a consultation or preliminary remote package.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Re: Secondary Otoplasty from Australia

Hello Dr Bermant,

My name is K, and I'm a 27 year old male from -, Australia.

I had an otoplasty procedure done 14 years ago, in - Australia, my ears were large and prominent at about a 90 degree angle from my head.as you would understand. I had requested the procedure due to taunting at high school.

However, the operation itself wasn't to turn out as i had expected, and I was told by the surgeon that i would grow out of it. Now that I'm a little older, I've realised that even now it's affecting my social life, and on occasions my confidence, and i would like very much to try and rectify the problem. I can send some photo's when i can get some appropriate one's done up for you, but for know i'll attempt to explain my problem. As a result of the surgery, i have ears that look very similar to spock ears. Theyve cut through the cartlidge, and folded and stitched the rear of the ear down, which has resulted in a very obvious fold running from the very tip of the top of the ear, vertically down through the superior crux. The helix at the rear most side of the ear is barely millimeters from touching the back of my head. Another way to descibe it is to say it looks like they,ve been squashed or you can see most of the Anti- helix part of the ear if you were to stand behind me. And it has also resulted in a very prominent point at the top of the fold.

As discussed i will send photographs as soon as possible, and look forward to some advice on reconstructive surgery.

I wish to go ahead with the procedure some time early next year,and on your advice, am willing to travel overseas to have it done. Look forward to speaking to you soon.

Regards,

K

Dr. Bermant responds:

Deformed ears can cause stress. It is easier to take away than put back and to fold than to unfold cartilage. Revision options depend on the original problem, what was done, and how you healed. Revision otoplasty surgery may be able to help. We are glad to help you explore your concerns during a consultation or preliminary remote package. Patients traveling great distances have told us they like starting with the preliminary discussion. Copies of operative reports, before surgery images can be of value. However, your surgery was done so long ago, you will be luck to be able to get records. Some patients have other images from before surgery.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Re: Revision Otoplasty - Travel from Western Australia

Hello Dr. Bermant,

I'd like to congratulate you on your website, I discovered it about 2 years ago whilst I was researching otoplasty on the web. It's by far the most informative resource I've found for otoplasty.

I currently live in a small city called Perth in Western Australia and am considering getting otoplasty done on my ears.

As a child I had big ears up till I was 15, when I had them operated on by a local plastic surgeon here in Perth. Unfortunately the operation wasn't as successful as I had hoped. My ears had been over-corrected, more so in the mid to lower region of the ears. It left the helix sticking out at the top/front, whilst the mid to lower region of the helix had been pinned right back, giving the ears an unnatural look.

I'm now 25 years old and recently had both of my ears operated on by the same surgeon. He aimed to bring the upper-front part of the helix in close to the heard, aligning it with the mid to lower region of the helix, whilst giving the ear a more natural look. Unfortunately the results turned out to be worse. A few weeks after the operation my left ear retracted back to its original position. The right ear turned out even worse - it looks pinned back too far, with it's upper helix sticking out even more than it did before the operation.

I guess I made a mistake going back to the same surgeon. I feel like I've wasted my time with him and feel really uncomfortable with the outcome. He's offered to operated again at no cost, but I have lost confidence in him.

I've spent a substantial amount of time researching the operation on the web and have come to the conclusion you are one of the most experienced surgeons in this type of surgery. I'm impressed with the sample photos on your website, as well as the techniques you've employed for different types of ear deformities.

I've attached some photos of my ears with some arrows indicating how I would like my ears to be reshaped. I hope this gives you some idea on the results I ultimately would like to achieve. Basically, I would the upper-front of the helix to be brought in as close to the head as possible and the middle to lower part of the helix brought outwards.

I realise you're based in the U.S.A. but I would really like some feedback on what options you think I could take to improve the appearance of my ears.

Kind Regards,
M

Dr. Bermant responds:

Many patients tell us how valuable my website is as a resource. However, the results shown here are typical for my Otoplasty Ear Surgery. This is an surgical sculpture art form and picking your surgeon can be very important. Each doctor has his / her own skills.

Another Revision otoplasty surgery may be an option which we are glad to help you explore your concerns during a consultation or preliminary remote package. If interested, 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

Re: Revision Otoplasty

Dr. Bermant,

i have protruding ears. i had go to otoplasty ear surgery for second times past 2 years,but this only last for few months,then goes back to its normal shape. i'm scare to do 3rd times operation. i didnt see that doctor again.What should i do? Pls advice.

thank you.

Dr. Bermant responds:

Otoplasty ear sculpture success depends on the original problem, surgical technique, skill of the surgeon, aftercare, and how you heal. I prefer techniques that minimize the chance for recurrence. Your options depend on many factors better discussed during an in office consultation after an examination and review of what surgery was done. I prefer to evaluate operative reports, doctor's office records, and before surgery pictures before commenting about possible options. We help patients explore such issues during consultations.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

Earlobe Reduction after Another Surgeon's Otoplasty

Dr. Bermant,
I have had otoplasty, but I am now interested in reducing the size of my earlobes. I have read about a procedure called an earlobe tuck, written in a magazine. How can this help me. Is this the right procedure for me?

Dr. Bermant responds:

There are many types of Earlobe Reduction Surgery. The most common solution involves local anesthesia and removal of a wedge of tissue and reshaping the lobes to match as close as possible. I cannot comment what surgery may be best until I can better understand the problem. This is done during a consultation.

My surgeon's fee for an earlobe reduction, depends on the technique required for the repair.

Michael Bermant, MD
Board Certified
American Board of Plastic Surgery

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