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COSMETIC PROCEDURES

Red Thread Vein Removal

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Ear Reshaping

Correction of Protruding Ears – Otoplasty

Introduction
Otoplasty is the name given to the procedure used to ‘pin back’ protruding ears. This condition is inherited and surgery can be performed as early as the fifth year to avoid classroom teasing.

Nature of the Operation
The patient is admitted on the morning of the surgery. A general anesthetic is given to young children whereas local anesthetic and sedation is preferred on older children and adults.

Incisions are made in the groove behind the ear so scars are hidden from view. At the end of the procedure a turban bandage is usually applied for 24 hours and removed before discharge home the following day. Thereafter a bandage is worn at night time until healing is complete. Sutures are removed after 10 days.


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Post Operative Sequelae
Bruising and swelling of the ears is inevitable. By the time of suture removal the majority of the bruising has subsided. If blood collects under the skin (heamatoma) it may have to be evacuated.

Pain and Discomfort
This is variable and usually medication is only required during the first 24 to 48 hours postoperatively.

Infection
This can sometimes occur and antibiotic treatment. Rarely the wound may require to be restructured if this occurs.

Symmetry
It should be stressed that both ears are never exactly alike even in normal stats and that perfect symmetry is therefore not a reasonable expectation.

Skin Loss
On rare occasions a small area of skin covering the ear may be lost as a result of impaired circulation resulting from bruising or infection.

Ear Deformity
This is an extremely rare complication and can occur as a result of inadequate healing after the operation. A second procedure may have to be performed to improve the result.