Incisionless Fritsch Otoplasty

About the Procedure

Ears that protrude abnormally from the head can greatly affect confidence and self esteem. While prominent ears can be hidden with long hairstyles or hats, it is only a temporary solution. There are several cosmetic surgeries for ears that stick out, such as the traditional otoplasty and the earFold device. However, the incisionless Fritsch otoplasty technique is less invasive and still produces permanent results. The incisionless otoplasty, also called a scarless otoplasty, utilizes sutures placed discreetly behind the ear to manipulate the cartilage to a more aesthetically pleasing position. Most patients who desire changes in their ear position will not be a candidate for this minimally invasive procedure as it can only accomplish mild adjustments and is best suited for children and teenagers. During the procedure, only local anesthesia is needed. Younger patients may not be able to tolerate sitting still for long periods of time and may require general anesthesia in order to reduce anxiety and allow the surgeon to complete the procedure. Once thoroughly anesthetized, the procedure will begin. Using a small needle, a puncture will be made in the front of the ear on the antihelical fold. The needle will be used to scrape and score the ear cartilage for easier advancement and encourage scar production postoperatively. Next, sutures will be placed in a rectangle pattern on the back of the ear, skillfully manipulating skin and cartilage to pull the ear closer to the head. Depending on the degree of protrusion, several sutures may be needed in order to create the desired effect. A wrap will be applied to the head postoperatively. Most patients are recovered within 7-10 days and return to full activity within 3 weeks.