Before the surgery, you will be placed under local anesthesia, general anesthesia, or conscious sedation. This will depend on a variety of factors, such as your age, the extent of the surgery, and your personal preference. However, Dr. Sedgh will typically recommend the best anesthetic option for your specific needs.
With children, general anesthesia is usually recommended to ensure the patient’s comfort throughout the whole procedure.
Ear pinning surgery requires precision to achieve optimum symmetry. It requires surgical techniques that will correct the antihelical fold (found just inside the rim of the ear) and reduce the conchal cartilage (largest and deepest concave of the external ear).
The surgery begins with an incision behind the ear, where the natural fold that connects the ear and head is located. Next, Dr. Sedgh will augment the prominence of the ear by altering the external structure and creating an antihelical fold, which is typically absent or underdeveloped in some patients with prominent ears. Permanent sutures will then be strategically placed create a natural, well-formed antihelix.
In cases where the ears already possess a developed antihelix but appears prominent as they sit too far from the head, Dr. Sedgh will perform a conchal setback, which involves the reduction or reshaping of the cartilaginous structures behind the ear. Since a simple conchal setback will usually make the upper and lower parts of the ears pop out, Dr. Sedgh may also use sutures to set them back to achieve the right result.
Both techniques are often used in ear pinning surgery, but this will still depend on the patient’s specific needs.