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Plastic surgeon Dr. James Nachbar 480-725-0714 8896 EAST BECKER LANE SUITE 102, SCOTTSDALE, ARIZONA 85260 http://www.plastic.org Ear gauge repair surgery Earring repair surgery Cosmetic Ear Surgery (Otoplasty, Ear Reshaping or Pinning) Ears that stick outwards and protrude, are misshapen and uneven, or are visibly too large can have a negative impact and affect your self-confidence, especially as a child. Ear reshaping surgery (also known as otoplasty) is a cosmetic surgical procedure that can assist in redefining the size and shape of the ears and create a pleasing look. Dr. James Nachbar is a plastic surgeon in Scottsdale, AZ who has assisted countless adults and children to overcome the fear of showing their ears by having this life-changing facial surgery. Cosmetic otoplasty is generally performed using general anesthesia. In most cases, the incision is made near the back of the ear, so the scar will be well hidden. During surgery, cartilage is reshaped, and a portion removed, to create a more natural appearance. Most often, there is poor formation of the antihelical fold of the ear, especially in the upper ear, that causes the top of the ear to stick out more than the bottom. This is addressed by weakening the cartilage at that area, and then placing sutures from behind to bend the top of the ear backward and reconstruct that antihelical fold. Then, additional cartilage is often removed from the conchal bowl, to reduce the prominence in the middle part of the ear. However, this must be done carefully, with care not to remove too much cartilage here, which can cause a "telephone" configuration, where the upper and lower ear stick out more than the middle of the ear. Finally, additional sutures are placed between the ear cartilage and the mastoid fascia, to hold the entire ear backward. Generally, there is no need to make an incision in the front of the ear, but sometimes skin is removed from the back of the ear, if there is now too much skin. Usually, both ears are corrected during otoplasty to ensure they look and appear balanced. Once the ears are surgically corrected, the incisions are closed with sutures and are bandaged so they can remain safeguarded for healing, but once the patient is fully awake, Dr. Nachbar generally allows the patient to remove the dressing.