Pinnaplasty: A procedure to correct prominent ears

Written by: Mr Anil Joshi
Edited by: Sophie Kennedy

In this informative article, highly respected consultant ENT and facial plastic surgeon Mr Anil Joshi details what pinnaplasty surgery entails and why it is performed. The revered specialist also sheds light on the recovery period to follow.



What type of surgery can be performed to correct prominent ears which stick out?


To manage prominent ears, sometimes known as bat ears, a surgical procedure called otoplasty or pinnaplasty is performed. In this type of surgery, we aim to recreate the ears’ antihelical folds, (an area of the ear cartilage where a natural bend usually occurs), which are otherwise absent. Additionally, we aim to address the conchal bowl and ear lobule, giving the ears a ‘pinned back’ and less prominent appearance.



What does otoplasty surgery entail?


The patient is placed on the headrest with both of the ears and the face exposed. We initially make ellipse or dumbbell shaped markings behind the ears. This marked skin is then removed and we create flaps to gain wide access to the cartilaginous framework.


To create the antihelical folds, we use a suture technique if the cartilage is soft or a combination of sculpting and suturing if the cartilage is semi-hard. We use permanent or long-standing sutures placed in a mattress fashion. Usually, around three of such sutures are needed to create the desired fold.


All the sutures are first placed and then later tightened to get the desired effect. The deep conchal bowl is then addressed again, with a combination of removal of a piece of excess cartilage and a pinning back of the cartilage to the mastoid bone which sits behind it with a permanent suture.


Once the procedure is complete, the skin is closed using dissolvable sutures and a head bandage is applied for five to seven days. The bandage is then removed at the next clinic consultation. We typically send patients home on the same day with a week’s worth of antibiotics.




If you are considering pinnaplasty surgery and would like to schedule a consultation with Mr Joshi, you can do so by visiting his Top Doctors profile.

By Mr Anil Joshi
Otolaryngology / ENT

Mr Anil Joshi is a leading consultant ENT and facial plastic surgeon working across London, and forms part of the London ENT Surgeons group. He specialises in procedures such as rhinoplasty, otoplasty, endoscopic sinus surgery, and facial plastic surgery to correct defects resulting from skin cancer, alongside many ENT and cosmetic non-surgical and surgical procedures. 

Mr Anil Joshi underwent higher surgical training in prestigious London hospitals such as Guy's and St Thomas' Hospital and King's College London. He was then awarded fellowship training in facial plastic surgery in the Utrecht and Netherlands Cancer Institute in Amsterdam, in Seoul, South Korea, and in London, UK. He is both International and European Board certified in Facial Plastic and Reconstructive Surgery (EBCFPRS and IBCFPRS). 

Mr Joshi dedicates time to providing training and instruction in his areas of expertise and has published numerous peer-reviewed articles in medical journals. He is the National Delegate for UK at the European Academy of Facial Plastic Surgery (EAFPS) and is a committee member of the Board. 

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