AM I A GOOD CANDIDATE FOR EAR SURGERY?
You may be a good candidate for ear surgery if you have one or more of the following conditions:
1. If your ears are prominent and stick out
2. If you feel you are unable to wear your hair tied back due to protruding ears
3. If you suffer criticism due to your ears sticking out
4. If you have one ear that sticks out or if you have one ear bigger than the other
WHAT TO EXPECT
AT YOUR CONSULTATION
Dr. Viral Desai will ask you what you expect from surgery for yourself or for your child. He will inform you of the risks and complications as well as the benefits of surgery.
We give utmost importance to patient confidentiality and take strictest care to ensure your privacy. The staff at CPLSS understands that it can be difficult for a patient to make enquiries about such a delicate matter. It is our aim to make you feel as relaxed, comfortable and fully informed about the procedure as possible.
PREPARATION FOR SURGERY
STOP SMOKING, INTAKE OF VITAMINS & BLOOD THINNING TABLETS
You should stop smoking (including the use of nicotine patches), intake of any blood thinning tablets (i.e. aspirin/disprin) and intake of vitamins at least 1 week prior to surgery.
FASTING BEFORE SURGERY
Fasting is required for 7 hours prior to surgery.
Medicines prescribed by Dr. Viral Desai should be taken as advised.
WEAR LOOSE COMFORTABLE CLOTHING
You need to wear loose comfortable clothing – with a top that is either buttoned or zipped at the front – not one that is pulled over the head./p>
You should inform Dr. Viral Desai of any reactions to medications, general anaesthetics or tapes.
HOW EAR SURGERY IS PERFORMED?
When having otoplasty surgery, a fold is created at the central point of the ear enabling Dr. Viral to reshape the cartilage. Dr. Viral will then remove the skin and either fold or remove a portion of the cartilage, allowing the ear to bend naturally towards the head. The procedure will take approximately 60 minutes. You can expect to be at the hospital for 2-4 hours.
You will be given either a general or local anaesthetic; it is important to inform either Dr. Viral Desai or the anaesthetist of any previous reactions to anaesthetics, or if you are anxious or suffer from a nervous disorder. Anaesthetists working with Dr. Viral have had extensive experience working with children and are very familiar with all facets of plastic surgery.
WHAT SHOULD YOU EXPECT
AFTER YOUR SURGERY
ACCOMPANIED BY SOMEONE
It is essential that you have someone to take you to and from the day facility. It is also imperative that someone stays with you for a 24-hour period after the procedure.
SUTURES REMOVED AFTER 2 WEEKS
The ears will have sutures, which will be removed after 2 weeks.
BANDAGE FOR 7-10 DAYS
A bandage will need to stay in place around the head for 7-10 days and you will need to buy a tennis headband to wear around your head when you arrive home.
You will be permitted to leave the day facility once the staff is completely satisfied that you are well enough to leave.
WHEN CAN I RESUME NORMAL ACTIVITIES
The decision for a child to return to school will depend on the parents and the child. Everyone heals at a different rate and some children will need to stay home longer than others. The average time spent away from work or school is approximately 7 days. It is important to avoid physical activity/exercise for at least three weeks post surgery.
Frequently Asked Questions
Split ear lobe is exactly what it sounds like. It’s a separation of skin from the point of piercing down through the base of the ear lobe. Although a discussion about split ear lobe repair is considered to be more of a minor cosmetic surgery, we include it here because the information and surgery is so commonly requested.
Most commonly, trauma from heavy or dangling earrings creates a slit in the ear lobe that begins at the point of piercing and continues to the base of the ear lobe. Catching a hoop earring in a comb when combing the hair is also a very common cause.
Split ear lobe repair is a safe, effective surgery performed to restore the ear lobe. The wound edges are “freshened” and closure is typically performed using a Z-plasty technique. This means that the wound is closed in a zig-zag fashion to strengthen the area from splitting again. The wound is securely sutured and a steri-strip (little butterflies) dressing is added to reinforce the closure while healing takes place. At your initial consultation, Dr. Viral Desai will provide all the instructions necessary for you to follow before and after surgery.
It’s important to keep the sutures and steri-strips dry for five days following split ear lobe repair. During this time, one may shampoo as long as the ear lobe and steristrips remain dry. The morning of the suture removal appointment, we will ask you to shower and shampoo the hair prior to the appointment. When the sutures are removed, steri-strips frequently need to be reapplied, in which case one would again need to keep the area dry for another five days.
Most patients carry on with little interruption to their daily activities. We ask patients to switch ears when using the telephone. So as not to disrupt the sutures, we also ask patient to avoid turtlenecks or tight fitting garments that are removed over the head. As far as aerobic activities, these should be avoided for one week following surgery. It’s important to avoid bending, lifting or straining during this postoperative period as these activities can increase swelling and delay healing.
Yes. For patients undergoing split ear lobe repair alone, this can be performed in the clinic with only local (numbing) anaesthesia.
The length of time for split ear lobe repair depends on several factors including the nature and amount of trauma, wound status and individual complexities of each person’s ear lobe. In general, split ear lobe repair takes about one hour depending on the anatomy and structure present prior to surgery.
Postoperative bruising and swelling begins to resolve at the end of the first week. For patients with a history of easy bruising, resolution of bruising or swelling may take two weeks.
Most patients return to work or school the day after the procedure.