Author Topic: Revison Otplasty.  (Read 4312 times)

Offline petpet5000

  • New Member
  • *
  • Posts: 1
    • View Profile
Revison Otplasty.
« on: January 23, 2013, 02:47:42 PM »
Hi,

This my first time on this forum,

about 6 months ago I had an otoplasty and one of the ears is came out a deformed (telephone  ear) I am very unhappy with this and its something that effects me  a lot... example I can't cut my hair, when  taking photos I always look the other way I went to see plastic surgeon who specialises in ear reconstruction and he told me that he could help me by doing a conchal cartilage graft and V-Y plasty, which he told me consists of cutting out a bit tissue (size of a small coin) and unwiding the fold in the ear.

do you think this is the right technique to use for my condition? (the middle part of the ear is 5 mm closer to the head then the top and bottom of the ear and the cartilage appears to be sharper)

what are the possible risks in this kind of surgery? (can it become worse?)
is this a simple or complicated surgery?
whats the usual outcome of this surgery?

I am very scared\hesitant about this but Its really effecting the way I live... it would mean a lot if you can shed some light ....

Offline DrBermant

  • Plastic Surgeon - Site Owner
  • Administrator
  • Mentor Member
  • *****
  • Posts: 1166
    • View Profile
    • Bermant Plastic Surgery
Re: Revison Otplasty.
« Reply #1 on: January 27, 2013, 10:55:53 AM »
Hi,

This my first time on this forum,

about 6 months ago I had an otoplasty and one of the ears is came out a deformed (telephone  ear) I am very unhappy with this and its something that effects me  a lot... example I can't cut my hair, when  taking photos I always look the other way I went to see plastic surgeon who specialises in ear reconstruction and he told me that he could help me by doing a conchal cartilage graft and V-Y plasty, which he told me consists of cutting out a bit tissue (size of a small coin) and unwiding the fold in the ear.

do you think this is the right technique to use for my condition? (the middle part of the ear is 5 mm closer to the head then the top and bottom of the ear and the cartilage appears to be sharper)

what are the possible risks in this kind of surgery? (can it become worse?)
is this a simple or complicated surgery?
whats the usual outcome of this surgery?

I am very scared\hesitant about this but Its really effecting the way I live... it would mean a lot if you can shed some light ....

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our forum. Ear deformity can cause a great deal of emotional stress. Here is a discussion about Otoplasty Forum - Stress Living with Projecting Ears Video about Emotions. Stress can be amplified when one deformity is traded for another with surgery.

There are many forms that the complication Telephone Ear Deformity can take as well as different degrees. Options for correction depend on the original problem, what was done, healing and so many different factors. Even the revision has its own additional risks beyond the Otoplasty Surgery Complications I explained to each of my patients. I would help my patients explore issues like blood supply compromise from prior surgery, nerves difficult to protect from being stuck in scar, forces that corrected the deformity in the first place, and the fickle nature of cartilage and other elements of Otoplasty Anatomy.

This is surgical sculpture and Revision Otoplasty is quite a bit more difficult than primary surgery. Yes, an ear can be made to look worse with further surgery, especially if the wrong thing is done for the wrong problem. Timing of surgery is something else. I never offered revision surgery so soon as tissues rarely evolved sufficiently for patients I had seen after surgery done by other surgeons. I never created that complication on one of my own patients. However, each problem is unique and requires its own solutions.

Posting Standard Otoplasty Pictures can document the specific nature of the problem.  The ear is best analyzed by more than a single image, that is why I evolved a more complete set, so the ear can be seen more completely. Ear Measurements at top, middle, and bottom can quantize differences in projection of the ear. However, that does not replace the clinical exam of how the tissue feels, scars, sensation, and other examples.

Putting up the before surgery photos can show the original problem and then summarize what was done surgically. In my analysis of ear problems I tried to understand what caused the complication. Comparing the before surgery documentation, what was done, and what I saw helped in my planning when I was in practice.

Is the surgery proposed by the original surgeon? Someone who specializes in reconstruction should be able to demonstrate their skills with before and after photographs. Have you reviewed such examples by the surgeon suggesting the specific surgery?

It is the responsibility of the operating doctor to explain the risks, benefits and alternate methods of care to each patient. The surgeon should be able to make a patient comfortable with that education. What have your learned so far? Why was that not enough bringing you here to learn more?

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Otoplasty Ear Surgery
Michael Bermant, MD
Retired Plastic Surgeon
Surgical Sculptor, Artist, Creative Thinker, Problem Solver
Plastic Surgery
Follow DrBermant on Twitter
Like us on Facebook:
Encyclopedia News
Forum Updates

Offline deniseperez

  • New Member
  • *
  • Posts: 3
    • View Profile
Re: Revison Otplasty.
« Reply #2 on: February 20, 2013, 06:32:39 PM »
Investigating about your surgeon would be the wise thing to do and also the years he is practicing his specialty. Also determine the years his clinic is operating and also gather some testimonials. So the operation with the new surgeon would not be as disappointing as the first one. Good luck!

Offline DrBermant

  • Plastic Surgeon - Site Owner
  • Administrator
  • Mentor Member
  • *****
  • Posts: 1166
    • View Profile
    • Bermant Plastic Surgery
Re: Revison Otplasty.
« Reply #3 on: February 20, 2013, 06:55:01 PM »
Investigating about your surgeon would be the wise thing to do and also the years he is practicing his specialty. Also determine the years his clinic is operating and also gather some testimonials. So the operation with the new surgeon would not be as disappointing as the first one. Good luck!

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our discussion group. Thank you for contribution to the discussion.

You can find an extensive collection of tools here How To Pick an Otoplasty Surgeon. That page is a refinement of a more global How to Pick a Plastic Surgeon which covers some basic issues. These resources have been evolving for years. We encourage contributions suggestions to improve / modify them.

Not All Surgeons Have the Same Skills.
This is an individual sculptor's skills. How long the clinic has been in existence can mean little when the surgery is turned over to someone with much less training. There is some safety if that individual is monitored during surgery such as in a Residency Program. But this is an individual's art form. Cartilage of ear just is not forgiving for even the slightest misstep. That is why looking at that person's own before and after results. Here are the tools to How to Evaluate a Surgeons Before After Otoplasty Pictures. In the case of a specific Otoplasty Complication, or Revision Otoplasty, checking that surgeon's skills specifically for those problems and their methods is much better than testimonials without seeing what the doctor has done. I have seen some horrific results of surgery from other surgeons that patients were ranting and raving how great the surgery turned out. That is why seeing is believing vs verbal hand waving with words alone. But then Personal Otoplasty Experiences with that doctor also become factors. That is one each issue alone is nice. But a really careful investigation takes much more as I  tried to outline in the basic resource listed first. This type of detail can take some time and effort, both for the investigating patient with a problem, but also for the surgeon with a passion to show their skills.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Otoplasty Ear Surgery
Michael Bermant, MD
Retired Plastic Surgeon
Surgical Sculptor, Artist, Creative Thinker, Problem Solver
Plastic Surgery
Follow DrBermant on Twitter
Like us on Facebook:
Encyclopedia News
Forum Updates