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Jacob D. Steiger, M.D.
4800 Linton Blvd, Suite D502B
Delray Beach, FL 33445
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Otoplasty (Ear Pinback)

Prominauris (prominent ears) is a condition in which a person's ears excessively protrude away from their head. This creates an unnatural appearance. Unfortunately, this condition often provokes hurtful teasing by other children in the classroom and can have a significant impact on a child's self-esteem. Adults who have prominent ears are often sensitive about their appearance as well, which imparts a negative self-image and impacts their self confidence. Fortunately, prominent ears can be corrected through a procedure called otoplasty (ear shaping). The procedure can be performed at any age after 4, which is early enough to prevent psychological scarring.

Otoplasty is performed to correct prominent ears. The abnormally shaped ear cartilage is resculpted to create a natural appearing ear. Sutures are used to re-enforce the cartilage. Most people go back to their regular activites within a couple of days after the procedure.

Before and after photos of otoplasty in a child to pin back protruding ears.
Otoplasty before and 3 months after the "ear pinning" procedure
Otoplasty Overview

Goals Otoplasty is performed to correct prominent ears by establishing a normal relationship between the head and the ear.

The Procedure Incisions are hidden behind the ear, allowing access to the ear catilage. The cartilage is then re-shaped and enforced with suture. Occasionally, a small amount of cartilage is removed if the ear is over-developed.

Anesthesia The procedure is frequently performed with a general anesthetic in children. In adults, local anesthetic or sedative anesthesia is most frequently used.

Length of Time The procedure averages between one to two hours. It is performed in our state of the art, fully accredited outpatient surgical facility or at the hospital.

After the Procedure Most patients go home comfortably after the procedure. A head bandage is placed to protect the ears, which is removed in a few days.

Recovery Most patients return to a normal routine within 1 week. Children are restricted in gym class and sports for 2 weeks.

Otoplasty FAQs
At what age can otoplasty be peformed?

Otoplasty can be performed as early as 4 years of age. Surgery should be performed prior to a child entering kindergarten or first grade and late enough where the ear has adequately developed.

Otoplasty to pin back the ears before and after photos
This young woman desired an otoplasty with a natural appearing result. Dr. Steiger performed a minimally invasive otoplasty on her. Before and After photos are seen after the ear pinning procedure.
Why do the ears to protrude?

Protruding ears are caused by the lack of develoment or an overdevelopment of the ear cartilage. What does this mean? Well, the most common cause for protruding ears is when the inside fold of the ear cartilage does not completely develop. This is called the anti-helical fold. The next, most common reason that the ears stick out is because the inside portion of the ear cartilage, the conchal bowl, is overdeveloped. This means that it is too large. These comprise the two most common reasons that the ears protrude. When visiting an otoplasty doctor that has a significant experience with this procedure, they will evaluate your ears and determine the best way to improve their apperance while maintaining a natural apperance.

Are there any scars after surgery?

Otoplasty incisions are usually placed behind the ear and are not visible. They heal very well and should not be noticeable.

How long do the results last?

Otoplasty results are permanent and the procedure only has to be performed once.

What is minimally invasive otoplasty?

Minimally invasive otoplasty is an ear pinning procedure performed by Dr. Steiger using smaller incisions. This can be performed in the office procedure room under local anesthesia.

Ear pinning procedure to fix ears that stick too far from the side of the head, also known as otoplasty.
Dr. Steiger's advanced ear pinning / otoplasty procedure was performed on her in order to achieve the most natural looking results. The photos shown are 3 months after her surgery.
Can otoplasty be performed on only one ear?

Otoplasty can be performed on one side only, but this is done only in rare instances. If one side protrudes significantly more then the other, it gives the appearance that only that side is affected. Dr. Steiger performs meticulous measurements to verify the position of both ears. In the majority of cases both ears are affected and need to be repaired to achieve balance.

What restrictions will I have after surgery?

Vigorous physical activity should be avoided for 1 week after surgery. It is important to avoid aggressive manipulation or trauma to the ear for 6 weeks after surgery. Acitivities which place the ear in jeopardy should be avoided. Patients are asked to where a head band at night for 6 weeks following surgery.

Is there much pain after the surgery?

Patients can experience a dull throbbing of the ears for a few days after surgery. This is relieved with a mild pain medication prescribed by our office.

Can I fly in to have ear surgery by Dr. Steiger?

Absolutely. Out of town patients can come in to have otoplasty performed in our Boca Raton location. Our office will help you coordinate your visit, the surgery, and your stay in beautiful South Florida. There are no restrictions on flying before or after surgery, once the Doctor sees you in the post-operative visits.


Dr. Jacob D Steiger MD is board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology- Head & Neck Surgery. He practices in Boca Raton and Delray Beach, Florida treating patients from Palm Beach, Ft. Lauderdale, Miami, as well as patients from all over the US and from around the world.

Call 561-499-9339 or 866-994-FACE to schedule an appointment today, or email for more information