DR. MATTIA COLLI SURGEON
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OTOPLASTY

PROTRUDING EARS

OTOPLASTY

Otoplasty is a cosmetic surgery technique that corrects the size, angle, and shape of the auricle, i.e., the defect most commonly known as “protruding ears.” In addition, it is possible to shape and modify other details of the pinna (outer ear) and lobes, any asymmetries due to congenital defects (already present at birth), or problems acquired as a result of trauma.

Otoplasty surgery is very common in adults as well as in children. When the imperfection of protruding ears compromises the quality of life by involving emotional distress, it is best to proceed with a medical examination in which the Surgeon can explain how to bring about the resolution of the problem by proceeding through otoplasty surgery.

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Dr. Mattia Colli exclusively performs a special otoplasty technique that differs in its absolutely natural results; the surgical difficulty of the otoplasty procedure is to shape and fold the cartilage of the auricle in a continuous and linear manner, without incising or cutting it, being able to create interruptions or micro-fragmentations that show up as whitish and angular areas when completely healed and relating a certain well-defined distance between the mastoid (the part of the skull that faces the ear) and the auricle, so that the ears are not too attached to the head (“wind tunnel”). Dr. Mattia Colli, through the use of modern methods sees the elimination of this risk precisely because the cartilage is shaped and not incised or cut.

Patients who undergo otoplasty surgery visibly manifest a radical change in the degree of ear angulation, respecting the natural folds that characterize the auricle inside it and communicating a very high degree of satisfaction, precisely because the final result has no visible scars.

The attainment of expectations is the result of the relationship that the Surgeon and the patient establish from the very first visit:. At Dr. Mattia Colli ‘s, otoplasty procedures are scheduled with reliable and real results; in the event that the desired result cannot be promised through the otoplasty technique, the Surgeon will reserve the right to call on the help of additional techniques to achieve the goal.

Satisfaction and the liking of the results obtained from the otoplasty procedure is constantly monitored even in the years following the surgery. The possibility of having direct testimony from patients about their experience makes  Dr. Mattia Colli a doctor with whom they can directly engage with to learn about satisfaction, clarify any doubts, and find their patients’ motivations.

Patients who meet with Dr. Mattia Colli come from all over the world. To reduce waiting times and transfers, it is possible to obtain a consultation online so that a first impression of the success of the otoplasty surgery can be provided.

OTOPLASTY – PROTRUDING EARS

WHY CHOOSE DR. MATTIA COLLI

Shaping the angle of the ears (preserving the natural folds of the auricle) is one of the main goals of otoplasty: with this technique it is made possible to align one’s ears and restore self-esteem and self-confidence.

Otoplasty surgery is recommended as early as infancy because it has obvious benefits for social interaction and in school results: children suffering from the imperfection of protruding ears are constantly laughed at by their classmates, leading to marked consequences in psychological terms, often bringing permanent damage to their personality.

Otoplasty surgery allows the young patient to be able to grow serenely while avoiding emotional discomfort right away. Pediatric otoplasty surgery makes the angle of the lobe permanent but does not disturb its growth so there is no reason to postpone otoplasty surgery. It should also be emphasized that the possibility that ears will settle or become less “protruding” with time is not true but that the opposite is true: an ear that was born protruding, will always remain protruding as it grows or may become even more evident.

At Dr. Mattia Colli’s, the surgical wires used during otoplasty surgery are almost all covered with a state-of-the-art silicone sheath of the latest biomedical engineering that allows faster healing by lowering the risks of infection or abnormal scarring reactions.

OTOPLASTY: WHO IS IT RECOMMENDED FOR?

OTOPLASTY SURGERY IS RECOMMENDED TO ALL PATIENTS WHO::

  • Wish to have a well-balanced image of their face, the main observation being not just the imperfection of protruding ears but the face in its naturalness
  • Want to enjoy their own and others’ admiration and to do so cannot accept a defect as obvious as protruding ears
  • They consider self-esteem to be essential for success and self-confidence

The most common malformation (protruding ears) is the excessive prominence of the auricle and may be due to excessive development of the concha (the central part of the auricle) or the failure to form certain external folds, called the helix and anthelix, or, again, the simultaneous presence of both defects.

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In addition, otoplasty can also be used to correct excessively large ear pinnae, regardless of their position, or even injured and traumatized earlobes (e.g., it is common in women to have a lobe torn by a torn earring). In addition, through otoplasty surgery, “lop ears,” in which the top of the pinna is folded down and forward; “cupped ears,” which are usually very small; and “shell ears,” in which many cartilage folds are missing, can be corrected.

MEDICAL-SURGICAL EXAMINATION

 

The Surgeon, before performing the otoplasty operation, visits the patient evaluating and highlighting the points to be corrected, taking into consideration the size, shape and angle of the ears. Based on the changes required, the surgeon evaluates the crease behind the ear where the scar can be hidden.  Dr. Mattia Colli listens to the patient in detail in order to develop a highly professional surgical program where the characteristics of the desired result are specified. The surgeon in addition to expressing in detail answers all doubts expressed by the patient.

PREPARATION FOR OTOPLASTY SURGERY

Before otoplasty surgery, all blood tests and ECGs listed and planned at the first visit should be performed. In all clinical cases, custom-made sheaths or “tennis bands” made for each patient are designed. Numerous pre-operative images will be taken for the planning of an increasingly personalized therapeutic course aimed at visualizing well the different angulation of the two ears and their structural morphology (in fact, it is well known that almost no part of the body is in perfect symmetry with respect to the contralateral; studying in detail these small differences increasingly lead the Surgeon to perfection of result).

Any current drug therapies (especially with cortisone, contraceptives, antihypertensives, cardioactive agents, anticoagulants, hypoglycemic agents, antibiotics, tranquilizers, sleeping pills, and excitants), homeopathic and phytopathic therapies, and possible allergies to antibiotics and drugs in general should be reported. At least two weeks prior to otoplasty surgery, one should stop taking medications containing acetylsalicylic acid (such as Aspirin, Cemirit, Vivin C, Ascriptin, Bufferin, Alka-Seltzer, etc…). Regarding the possible intake of substances such as low-molecular-weight heparin, possible discontinuation should be properly discussed with the Surgeon.

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At least 2 weeks beforehand it is recommended to discontinue smoking, which adversely affects the healing processes.

The day before otoplasty surgery or even better, the morning itself, a thorough hair washing should be performed, nail polish should be removed from the fingernails, and cosmetics from the face should be removed.

MEDICAL-SURGICAL EXAMINATION
The Surgeon, before performing the otoplasty operation, visits the patient evaluating and highlighting the points to be corrected, taking into consideration the size, shape and angle of the ears. Based on the changes required, the surgeon evaluates the crease behind the ear where the scar can be hidden. Dr. Mattia Colli listens to the patient in detail in order to work out a highly professional surgical program where the characteristics of the desired result are indicated. The surgeon in addition to expressing in detail answers all doubts expressed by the patient.

INFORMED CONSENT
When the patient has clarified all doubts and decides to undergo otoplasty surgery, he or she is guided in the completion of the informed consent document, drawn up according to his or her clinical case.

CLINICAL ASSESSMENTS

The patient must perform the clinical examinations prescribed by the Surgeon, before undergoing otoplasty surgery, to certify and demonstrate the suitability of the health status for the total safety and peace of mind of the patient, which must always be the first concern. In case any pathologies are discovered or the examinations record abnormalities, it will be the Surgeon’s responsibility to inform about the state of health and to be able to plan the otoplasty surgery with other anesthesiological techniques to avoid any risk related to them.

ADMISSION OF THE PATIENT

The patient is admitted in the morning on an empty stomach from midnight the night before. The preoperative program is again reviewed and validated a second time, as are the clinical examinations (double check). The patient is prepared in his or her own dedicated room, and when everything is ready, he or she is transferred to the operating block.

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ANESTHESIA
Dr. Mattia Colli has decided to abandon full anesthesia with its associated dangers: surgeries are performed with the most modern anesthesiological techniques of deep sedation (local anesthesia + intravenous anesthesia), so that fear and pain sensation are completely cancelled while the unconscious is invaded by pleasant dreams and images.

Local anesthesia occurs through the introduction of anesthetic into the areas of the earlobe to be treated in order to effectively eliminate the sensation of pain. The insertion of this solution, called tumescent, also takes place with a vasoconstrictor (adrenaline) to avoid bleeding, because it reduces the blood flow in the area to be treated allowing the operating surgeon to work at his best and in a delicate way, managing to eliminate a greater amount of fat.

Another advantage is to have an immediate return to social life without having to endure classic situations of fatigue, dizziness and exhaustion typical of the disposal of general anesthesia drugs.

OTOPLASTY: SURGERY

 

The Surgeon, during otoplasty surgery, proceeds with the incision in the posterior area of the ear; after removing the tissues he accesses the auricular cartilage and makes a thin incision without removing or eliminating the noble tissue. The cartilage is preserved and “unbent,” that is, bent so that the correct fold is assumed so as to reduce the protrusion of the ear.

The new angle assumed by the cartilage fold is then fixed with special suture threads covered with a silicone weave that allow permanent stability, reduce the risk of infection, and allow faster healing.

After the otoplasty operation is completed, the top of the head is dressed with an elastic bandage for the purpose of compressing and protecting the treated area from impact and preventing swelling from altering the surgical result achieved. The special dressing promotes healing of the pinnae according to the optimal shape.

Otoplasty surgery does not require hospitalization, and the patient can safely return home after a few hours.

OTOPLASTICS
POST-OPERATIVE

 

The dressing is removed after a few days in order to optimally disinfect and clean the wound. Following otoplasty surgery, the Surgeon suggests a series of practices to be maintained to promote healing and complete healing; the bandage and dressing past the first hours of the postoperative course of otoplasty surgery is relaxed and “tennis bands” are provided in order to secure the dressings around the ears.

After the dressings are removed, it is normal to see the treated anatomical area swollen and edematous. Otoplasty surgery does not involve pain; in fact, again after assessing the personal pain threshold according to the individual patient, most patients report taking no pain medication during recovery. All medications and related antibiotic and anti-inflammatory prophylaxis prescriptions are provided at the end of the otoplasty surgery before the patient leaves the clinic.

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Work can be safely resumed 48h after the otoplasty surgery, although the patient will keep the bandage with the corresponding dressing for about a week; preferably, children should abstain from school one week, a time of safety to avoid accidental blows or that may compromise the aesthetic outcome of the otoplasty.

For a few days after otoplasty surgery, the dressing should be maintained, which is intended to protect the operated pinnae, limit their swelling and the sensation of discomfort. In addition, in the first 2 to 4 days after otoplasty surgery, it is advisable to stay in cool rooms and keep the head elevated by 2 or 3 pillows during bed rest to limit swelling. The use of cold compresses on the face may help to provide a cooling sensation and reduce pain and swelling.

The result is to be considered permanent, but in many patients the molded cartilage tends to return to its previous position; to avoid this unpleasantness, the stitches will be removed only after 14 days and the band will be worn at night for at least 1 month. After this period has passed, the patient is out of any danger of this possibility.

RESULT
Otoplasty surgery allows the correction and permanent shaping of protruding ears, reducing the excessive protrusion of the ears by bringing them closer to the mastoid (head).

Thanks to Dr. Mattia Colli, the results obtained after otoplasty surgery reflect patients’ realistic expectations.

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