Ear Setback Surgery (Otoplasty)
Ear setback surgery, also known as otoplasty, is performed to correct prominent or protruding ears by reshaping and repositioning the ear closer to the side of the head. Prominent ears are most commonly the result of inherited ear shape rather than growth or injury.
Introduction
Otoplasty may be performed in children, adolescents and adults, and is often sought either before school age, during the early school years, or later in adulthood. Dr Raymond approaches ear surgery with an emphasis on natural shape, symmetry and durability, aiming to create ears that sit naturally within the proportions of the face without appearing overcorrected.
THE PROCEDURE
Otoplasty is performed under general anaesthetic with Dr Raymond's experienced surgical and anaesthetic team at Hunter Valley Private Hospital.
Otoplasty may be performed in children or adults. In children, surgery is commonly undertaken between five and six years of age, when the ears are largely developed and before starting school, although many patients choose to undergo surgery later in childhood or adulthood.
The procedure typically takes one to two hours, depending on the complexity and whether one or both ears are treated. Otoplasty is usually performed as day surgery, with patients returning home the same day.
THE PROCESS
Prominent ears usually result from an underdeveloped natural fold of the ear, excess cartilage causing the ear to project, or a combination of both.
Dr Raymond assesses ear shape, cartilage quality, symmetry and head proportions as part of surgical planning.
Surgery is performed through an incision behind the ear, allowing access to the cartilage without visible scarring from the front. The cartilage is reshaped and repositioned using a combination of sutures and contouring techniques to achieve a more natural ear position.
Throughout the procedure, care is taken to maintain the natural contours of the ear while avoiding an overcorrected appearance.
RECOVERY
Following surgery, a protective head dressing is applied and worn for the first few days. This is replaced with a soft headband, which is typically worn at night for several weeks to protect the ears during healing.
Swelling and bruising are expected and vary between individuals. Discomfort is usually mild to moderate and well controlled with simple pain relief.
Most patients return to school or work within one to two weeks and resume non-contact activities shortly afterwards.
Final ear shape continues to refine over several months as swelling resolves and the tissues settle.
RISKS
All surgery carries risk. Risks specific to otoplasty include:
- Bleeding or infection
- Asymmetry
- Recurrence of ear prominence
- Changes in skin sensation
- Delayed healing or unfavourable scarring
- Dissatisfaction with the cosmetic outcome
- The need for further surgery
These risks will be discussed in detail during your consultation. Further information is also available on our Treatment Risks page.
PRICING
Otoplasty is quoted using all-inclusive pricing, incorporating surgeon, anaesthetist, hospital and routine post-operative care.
As a guide:
- Otoplasty (Medicare eligible in selected patients under 18 years): approximately $4,500–6,000 before applicable rebates.
- Bilateral otoplasty (Cosmetic): approximately $7,500–9,500.
- Unilateral otoplasty: individually quoted.
A personalised written quotation is provided following consultation. Medicare eligibility is assessed where appropriate, and all treatment options will be discussed before proceeding.
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