Constricted Ear Otoplasty (cup or lop ear plastic surgery)
Ear surgery usually takes about 2 to 3 hours, complicated operations can take longer. Each anatomical problem requires its own solution. Hair does not need to be shaved for this operation.
This is a group of congenital ear deformities where the rim of the ear is tightened or constricted. It can appear in many degrees from mild to severe. The surgery needed depends on the deformity. There are many surgical options. Dr. Bermant will design the best sculpture for your specific deformity.
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In this particular case, there is a folding or hooding of the helical rim. View other photographs of this patient before and after surgery here. Each case must be considered individually. The deformity is always unique requiring a creative surgical sculpture solution.
Caution Graphic Pictures During Lop Ear Otoplasty
For this patient, Dr. Bermant chose a double banner flap where the folded cartilage rim was split and expanded to form the framework. View more before and after otoplasty surgery photographs of this patient.
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Bent helix rim cartilage split and each flap expanded to a new position. The cartilage is sewn together in this new position making a new frame for the skin to drape over. |
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The skin was opened behind the ear exposing the bent cartilage. |
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The cartilage flaps have been sutured together making a larger frame for the skin. Depending on how much expansion is needed, a piece of cartilage from the concha may be needed for support under this frame. This particular patient did not need the additional graft. |
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Photograph of skin redraping over new framework The skin redrapes over the newly shaped ear cartilage. You can see the tendency of the skin to resume its prior shape. The photograph on the right show me fitting the skin to the expanded contour. |
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Photo of adjusting skin to new contour. On one side there was enough skin to close the wound behind the ear easily. On this side there was a gap that needed additional tissue. |
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Surgical photo The extra tissue was for the closure was taken from behind the ear. A flap was rotated filling the defect. |
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Photograph during surgery To keep the skin in place, a bolster dressing was sewn in place. Dr. Bermant removed this several days after surgery. This will be protected by a formal ear dressing. |
Constricted Lop or Cup Ear Deformity |
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| Side and Front Images | More Pictures | Cup Ear Surgery | |||
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Otoplasty Ear Surgery |
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