Otoplasty Perth
Ear pinning surgery:

Otoplasty Perth
So what is otoplasty?
Do you feel self conscious about the size of years or perhaps the degree to which they protrude or ‘stick out?’ Occasionally there are other congenital differences with the ears, or an obvious asymmetry between the two. Otoplasty (or ear pinning) surgery may be an option if you (or your child) has issues with the ears.
The main reasons people choose otoplasty include:
- Problems with how your ears are shaped or look because of their structure or cartilage.
- Feeling upset or bothered about the shape or size of your ears.
“When you visit us at Forme Specialist Plastic Surgery for a consultation we’ll discuss what you don’t like about your ears’ size, shape, and appearance and what we can do to change them. If you’ve had ear surgery before, we’ll talk about that too. We’ll talk about the surgery, the recovery, follow-up and risks.”
Dr Jeremy Rawlins, Plastic Surgeon Perth
No two otoplasties are the same, as the procedure is very much tailored to each patient. Most surgeries are a combination of skin excision, cartilage removal and reshaping, and suturing the cartilage and skin into a new position. Scars are hidden behind the ears and usually settle down very well.
Are there different types of otoplasty?
Prominent ear correction (set-back otoplasty:
The most common type of ear surgery is a set-back otoplasty or ‘’pinning,’ – where there is actually no ‘pinning’ taking place (you’ll be pleased to know.) The ear is reshaped and adjusted so it sits closer to the head and the cartilage is reduced and reshaped using scoring techniques and sutures. This gives an overall better appearance to the ear.
Reduction otoplasty:
If your ears are too big we may suggest a type of surgery called reduction otoplasty. In this surgery we carefully remove excess skin and cartilage to make your upper part of the ear and /or earlobes smaller.
Will both ears be operated on at the same time?
Yes,during otoplasty both ears will be operated on at the same time.
Am I suitable for ear surgery (otoplasty)?
If your ears are too big or stick out, otoplasty may well be an option for you. It is essential to have realistic expectations for outcomes post-surgery. Usually, patients are very happy with the results. Children can get this surgery starting at about the age of 7, but this can vary and is an area that is discussed in detail when you see us in the clinic.
How should I get ready for ear surgery?
The best way to prepare is by staying in good shape, a sensible diet, and no smoking or vaping (or recreational drugs) – as these can all have a bad effect on wound healing.
Otoplasty procedure
Ear surgery: step by step
Ear surgery is done as a day case procedure under local or general anaesthetic (patient choice).
The surgery involves making incisions on the back part of the ear. Through that incision, we can reduce and reshape the cartilage. Once we’ve adjusted your ears to a more natural position closer to your head, we close the incisions – usually with absorbable sutures. We will then apply dressings and a bandage to your head. You’ll need to wear a bandage around your head for 1 week after the surgery. You’ll then attend our clinic where we will reduce the dressings, but you’ll need a headband to wear for a further week after that. Patients also need to wear a headband at night time and for contact sports for three months after their surgery.
Will there be scars?
Yes, but they will be hidden behind your ears.
Do the stitches need to be taken out?
No, all the sutures are absorbable
Recovery after ear surgery
Some discomfort is common following otoplasty surgery, but simple pain relief is usually all that is needed.
Regarding returning to your normal activities, you can usually go back to work or school after a few days (provided you can do so with the bandage in place). If not, you need to be off.
Risks and complications
It’s rare, but bleeding and infection can occur. If bleeding does occur it may need surgical revision – but it is unusual.
Every surgery carries risks including:
- Reactions to anaesthesia, which can range from mild allergic reactions to more severe effects depending on your overall health and history.
- Scarring is a natural part of the healing process, but in some cases, scars may become noticeable, thick, or keloid, which can be a cosmetic concern. If this was to occur we offer treatments and solutions to help with these pathological scars
- Changes in skin sensation, including numbness or increased sensitivity, can occur around the surgical site. These changes are often temporary but can be permanent in some cases.
- Ongoing asymmetry. Whilst we try to get exact symmetry sometimes it is not completely possible.
- Recurrence of the deformity. Very occasionally the prominence of the ear can recur after a few months / years. This is rare when we have used a cartilage scoring / reduction technique rather than just relying on a suturing technique.
Can I have a Medicare rebate for otoplasty?
Yes, there is a Medicare rebate available for otoplasty surgery for children under the age of 18.
Ear Surgeons Perth
Why Forme Specialist Plastic Surgery in Perth?
We are dedicated to putting you at ease when considering surgery to your ears (or your child’s ears). We’ll use language that you understand, show you other patients’ ‘before and afters’ and talk you through the entire process from start to finish.
“I have subspecialty interest and expertise in the management of prominent ears (and ear deformity). I have been performing these operations for over twenty years and have had the opportunity to teach many other surgeons in otoplasty.”
Dr Jeremy Rawlins, Otoplasty Surgeon Perth
Thinking about getting started with us? Request an appointment and see the difference yourself.



