Giuseppe Spinelli



Cosmetic Surgery

If the protruding ears or the loop annoy you or your child, surgery may be considered. Ear surgery – also known as otoplasty – can improve the position, shape or proportions of the ear. You can correct a defect in the morphology of the ear that is present at birth and that becomes evident with development or correct a post-traumatic or post-oncological defect.

Photo gallery intervention Otoplasty before and after


creates a natural shape, bringing balance and proportion to the ears and face. Even minor deformity corrections can bring profound benefits to appearance and self-esteem.


In particular, otoplasty is able to treat:

  • ears too large – a rare condition called macrotia/li>
  • protruding ears that occur on one or both sides in varying degrees – not associated with hearing loss
  • dissatisfaction of the adult who has had a previous otoplasty
Is it right for me?

Otoplasty is a highly individualized intervention and should be done for oneself, not to satisfy someone else’s wishes or to try to adapt to any kind of ideal image.

The good candidates for otoplasty are:

  • healthy, without serious illnesses or untreated chronic otitis
  • typically 5 years, or when the cartilage of the child’s ear is stable enough for correction
  • cooperative and follow the doctor’s instructions well
  • Able to communicate their feelings and do not give voice to objections when it comes to surgery

Teenagers and adults good candidates for otoplasty are:

  • Non-Smoking
  • individuals with a positive attitude and with specific goals for otoplasty in mind
What to expect during the first visit

he success and safety of your intervention depends very much on your total frankness during the first visit. You will be asked a series of questions concerning your health, desires and lifestyle.

Be prepared to discuss:

  • because you want the intervention, your expectations and the desired result
  • medical conditions, drug allergies and medical treatments
  • previous surgical procedures

The surgeon can also::

  • assess the general state of health as well as all pre-existing health conditions or risk factors
  • take photographs for your medical records
  • discuss options and recommend a course of treatment
  • discuss probable results of otoplasty and any risks or potential complications.
Otoplasty preparation

Before the surgery, you could be asked to:

  • have pre-operative examinations and anesthetic evaluation
  • Take some medications or regulate current medications
  • Stop smoking well in advance of surgery
  • Avoid taking aspirin and some anti-inflammatory drugs and herbal supplements as they can increase bleeding

Special instructions you will receive will concern:

  • what to do for the day of the intervention
  • the use of anesthesia during surgery
  • Post-operative and follow-up

Your maxillofacial surgeon will also discuss where your surgery will be performed. Depending on the type of surgery you will undergo, your surgery will be performed in an accredited surgical clinic where your surgeon operates.

You will need help

If your otoplasty is performed on an outpatient basis, be sure to arrange for someone to take you home after the surgery and stay with you for at least the first night after surgery.

Important facts about the safety and risks of otoplasty

The decision to make otoplasty is extremely personal and you will have to decide if the benefits will meet your goals and if the risks and potential complications are acceptable. Your plastic surgeon will explain in detail the risks associated with surgery. You will be asked to sign the consent forms to be sure that you fully understand the intervention you will be subjected to, the alternatives and the most likely risks and possible complications.

Some of the risks include:

  • bleeding (hematoma)
  • asymmetry
  • infection
  • bad wound healing
  • change in skin sensitivity
  • irregularity of the skin contour
  • skin discoloration and / or swelling
  • risks from anesthesia
  • unfavorable scars
  • Tape allergies, suture materials, glues, blood products, preparations for topical use or injected agents
  • Pain, which may persist
  • Possibility of revisional surgery

Make sure you ask questions

It is very important to ask your maxillo-facial surgeon questions about your surgery. It is natural to feel a little anxiety, due to the excitement of your expected new appearance, to pre-operative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

Where will my surgery be done?

The otoplasty can be performed in a suitable facility or in a surgical ambulatory. Your maxillo-facial surgeon and personal assistant fully participate in your comfort and safety. After surgery, bandages or bandages will be applied to keep your surgical site clean, protecting it from trauma and supporting the new position of the ears during initial healing. You will receive specific instructions that may include: How to take care of your ears after surgery, the medications to be taken or taken orally to aid healing and reduce the risk of infection, and when the follow-up will be done with the your maxillofacial surgeon

When you go home

If complications occur, inform the maxillofacial surgeon who will determine if additional treatment is needed.

Pay attention

Following your doctor’s instructions is the key to the success of your surgery. It is important that surgical incisions are not subjected to excessive strain, abrasion, or movement during the healing time. Your doctor will give you specific instructions on how to take care of yourself. It is very important to follow the instructions of the maxillofacial surgeon and to respect the visits as scheduled.

What happens during the otoplasty procedure

Step 1 – Anesthesia

Drugs are given for your comfort during surgery. Choices include intravenous sedation, local or general anesthesia. The doctor will advise you the best choice for you.

Step 2 – The incision

The correction of protruding ears uses surgical techniques to create or increase the anti-helix fold (just inside the edge of the ear) and to reduce the enlarged cartilage hollow (the largest and deepest concavity of the outer ear). Otoplasty incisions are generally made on the posterior surface of the ear. When incisions are needed on the front of the ear, they are made inside its folds to hide them. Internal non-removable sutures are used to create and fix the new cartilage shape in its place.

Step 3 – Close the incisions

External stitches close the incision. The techniques are individualized, being careful not to distort other structures and to avoid an unnatural appearance as if the ear were “pinned back”.

Step 4 – See the results

The otoplasty offers immediate results in cases of protruding ears, visible once the dressing, which supports the new shape of the ear during the initial stages of healing, has been removed. With the ear permanently positioned near the head, surgical scars are hidden behind the ear or well hidden in the natural folds of the ear.

Otoplasty Healing

Post-operative pain at otoplasty is normal and can be controlled with pain medication. There may be an itchy sensation under the bandages. It is essential that the bandages remain intact and are not removed for any reason. Failure to do so could result in the loss of some of the corrections and it may be necessary to resort to secondary surgery.

Be sure to ask specific questions to your maxillofacial surgeon about what you can expect during your recovery period.

  • where will I be taken after the conclusion of my otoplasty surgery?
  • Which drugs will I be given or prescribed after surgery?
  • what dressings / bandages after surgery? When will they be removed?
  • Will the points be removed? When?
  • When can I resume normal activity and exercise?
  • When should I return for follow-up?

The practice of medicine and surgery is not an exact science. Despite the expected good results, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgery and another intervention may be necessary.

Results and Perspectives

The otoplasty offers almost immediate results in cases of protruding ears, visible when the dressings that support the new shape of the ear during the initial stages of healing have been removed.

With the ear permanently positioned near the head, surgical scars are hidden behind the ear or well hidden within the natural folds of the ear. The results of a more extensive otoplasty and reconstruction may appear in several phases over time.

How much does an otoplasty operation cost?

Cost is always a consideration in elective surgery. The cost of a surgeon for otoplasty may vary depending on his experience, the type of intervention used, as well as the geographical location. Many plastic surgeons offer patient financing plans, so be sure to ask if it may interest you.

Costs may include:

  • honorary of the surgeon
  • costs of the surgical structure
  • costs of anesthesia

Most health insurance plans do not cover elective surgery, related complications or another corrective surgery to change the appearance of your ears. Some interventions can be covered by health insurance, particularly when they are performed to alleviate medical symptoms or to restore hearing function. Pre-certification is often required for reimbursement or coverage. Be sure to consult with your insurance company before any surgery.

Your satisfaction is more important than a tax

When choosing a maxillofacial surgeon for otoplasty, remember that the surgeon’s experience and being in tune with him are as important as the final cost of the surgery.

Otoplasty words to know
  • Antielic fold: a fold that is immediately inside the edge of the ear.
  • Cartilaginous basin: the largest and deepest concavity of the external ear.
  • Narrow ear: Also called a hanging or cup ear, it has different degrees of protrusion, a reduced ear circumference, a fold or flattening of the upper helical edge, and a lowered position of the ear.
  • Cryptotia: Also called “hidden ear”, it occurs when the upper edge of the ear is hidden under a secondary fold of the scalp with an abnormal folding of the cartilage of the ear up towards the head. The fold is the opposite of that commonly seen in protruding ears.
  • Ear axis: The main line of ear growth.
  • General anesthesia: drugs and / or gases used during an operation to relieve pain and alter consciousness.
    intravenous sedation: sedatives given by injection into a vein to help relax.
  • Macrotia: ears too large, a rare condition.
  • Microtia: The most complex congenital deformity of the ear, when the outer ear appears with a sausage-shaped structure that resembles little more than an ear lobe, or has more recognizable parts of the hollow and tragus or other features of a normal ear. The external auditory or hearing canal may or may not be present. Hearing is compromised at various levels.
  • Otoplasty: a surgical procedure also known as ear surgery to improve the position, shape or proportion of the ear.
  • Ear of Stahl: An ear that has a distorted shape due to an abnormal cartilage fold.
Questions to ask my plastic surgeon

Use this checklist as a guide during the consultation

  • Are you a specialized surgeon?
  • Do you specialize in the field of maxillofacial surgery?
  • Is the surgical structure accredited by a recognized accreditation body?
  • How many such interventions have been performed?
  • Am I a good candidate for this intervention?
  • Do you expect to get the best results?
  • Where and how is my otoplasty performed?
  • Which shape, size, surface structure, incision site and placement site do I recommend?
  • How long can I expect for the healing period, and what kind of help do I need during my recovery?
  • What are the risks and complications associated with this surgery?
  • How are complications handled?
  • What are the options if I am not satisfied with the result of my otoplasty?
  • Do you have the photos before and after the intervention, so that you can look at them for every intervention performed and what the reasonable expectations are?
Choosing a surgeon to trust

Maxillofacial surgery involves many choices. The first and most important is the selection of a surgeon that can be trusted.
The choice of a qualified surgeon such as Dr. Giuseppe Spinelli, specialized in maxillofacial surgery, ensures that a doctor has been selected who:

  • has completed at least five years of surgical training with a matured experience in maxillofacial surgery
  • he has training and experience in all the maxillo-facial surgery of the face and neck, and in the more complex ones of reconstructive, oncological, malformative, traumatological, oral, and maxillofacial surgery in its entirety.
  • operates only in accredited health facilities
  • adheres to a strict code of ethics.
  • Meets the requirements of continuous medical education, including standards and innovations in patient safety.
  • He is enrolled in the register of specialist surgeons.
  • He is a member of the SICMF, Italian Society of Maxillofacial Surgery