Incisionless Fritsch Otoplasty

The incisionless Fritsch otoplasty is a minimally invasive procedure that uses only sutures to reposition prominent ears closer to the side of the head. During the procedure, no cuts or incisions are made to manipulate the ear to a more normal position.

Incisionless Fritsch Otoplasty Overview - Everything You Need to Know

The Skinny

Incisionless Fritsch Otoplasty
avg. recovery
8 days
Is permanent
Surgical Procedure
$3000 - $5000

About the Procedure

Last Updated: 07.27.2021

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.

The goal of an incisionless Fritsch otoplasty is to reposition prominent ears that stick out to a more discreet position against the head.


Incisionless Fritsch Otoplasty addresses concerns such as:

Recovery Notes

Recovery following an incisionless otoplasty is typically well tolerated and is managed with OTC pain medications. Most swelling and bruising will resolve within 10 days. Patients are able to return to normal activity within 1 week and strenuous exercise after 3 weeks.

Ideal Candidate

The ideal candidate for an incisionless Fritsch otoplasty is bothered by ears that stick out too prominently from the head. This method can be performed on patients of all ages but is most effective on children and teenagers who have more pliable ear cartilage than adults. This procedure can also be performed as a revision technique following complications experienced with a traditional otoplasty.

Not Recommended For

The incisionless Fritsch otoplasty is generally well tolerated by most patients but may not be as effective in adults or patients with severe ear deformities who may better benefit from a more aggressive approach.

Side Effects



  • minimally invasive
  • quick recovery


  • possible recurrence
  • possible suture failure
  • results can be subtle

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