Most ear surgery procedures in the past were performed to correct congenital problems such as “lop ear,” “cupped ear” and “shell ear,” to set prominent ears back closer to the head, or to reduce the size of large ears. When done for these problems, we recommend the surgery be done at about five years of age, when the ears are mature but before significant teasing occurs. However, these procedures are also appropriate for older children and adults who did not have access to them as a child.
Many of the same techniques are also applicable to problems in adults caused by aging or previous facelift. Some of these problems may include:
Some earlobe problems from aging can be treated with injections of either Juvéderm® Ultra™ or Vollure™. When a surgical procedure is needed, we treat older children and adults in the office as an outpatient using local anesthesia or at the time of revision facelift. Most people can resume normal activities immediately, as the sutures are usually hidden behind or on the back edge of the ear, except where we have repaired split or enlarged holes from pierced earrings.
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The American Society of Plastic Surgeons provides more general information.