Question : I know otoplasty can be performed on children at very young ages, but are there ever instances where you advise against young patients having this surgery?
Answer : We look at two aspects of the surgery before I give my advice to parents. First, regarding the physical aspects of the ear, I like to perform otoplasty in children around age five. At this age, the ear has attained much of its adult size and proportion so that it’s technically possible to get a very good result. The second aspect is the psychological development of the child. If the child’s psychological development is such that performing surgery and wearing a bandage is going to be extremely psychologically damaging, I tell the patients to postpone the surgery or maybe even avoid the surgery. I also tell the patients to look at the deformity. Some patients come to my office and the amount of protrusion is so minimal that it is unlikely the child will be teased at school and so you can probably save yourself having this procedure.