Had oto about 10 yrs ago. Was severely overcorrected, resulting in a very windblown/telephone ear look. Had a revision about 2yrs after by another surgeon. The 2nd surgeon did a decent job with what he had to work with (limited cartilage). He basically sectioned the remaining cartilage and "fanned" it out to get the ear to pop out a little (if I'm remembering how he explained it to me). While there was definitely improvement, my right ear is still a little closer to my head than I'd ideally like it. I can live with the way it is, but it still bothers me. With my facial shape, eyebrows, etc, it would just balance things out more if it wasn't so close to my head. Plus it would make the ears more symmetrical.
Thats my background, and now the question:
I really at this point do not want to operate on the cartilage anymore for fear it will just die or something from all the trauma. Plus, it seems I had some bad nerve damage in the helix rim area, so I just want to stay away from having to cut into that area of the ear if possible. I saw that there is a surgeon in New York that supposedly does a procedure where he inserts a small piece of silicone behind the ear, under the skin to act as sort of a spacer, to push the ear out/forward a little. Is this something you do? What are your thoughts on such a procedure?