Otoplasty, most commonly performed as ear pinning surgery, is a refined surgical cosmetic procedure designed to reposition prominent ears closer to the head and enhance overall facial balance.
The objective is subtle improvement — not transformation. By refining projection and symmetry, ear pinning enhances facial proportions in a way that looks effortless and natural.
Prominent ears are typically caused by an underdeveloped antihelical fold, excess conchal cartilage, or a combination of both. Rather than simply “pinning” the ears back, modern otoplasty reshapes the cartilage framework to restore natural contours while preserving the unique anatomy of each patient.
Dr. Marco Ranieri performs otoplasty using advanced cartilage-sculpting techniques tailored to your anatomy, ensuring precise, long-lasting and harmonious results. The procedure is usually carried out under local anaesthesia with sedation or general anaesthesia, depending on age and preference, and typically takes between one and two hours.
Ear prominence does not have a single cause. For this reason, successful otoplasty requires an individualised surgical plan rather than a one-technique-fits-all approach.
Dr. Ranieri selects the most appropriate technique — or combination of techniques — based on your specific anatomy.
Antihelical Fold Reconstruction
When the antihelical fold is underdeveloped, carefully positioned internal sutures are used to recreate its natural curvature. This cartilage-sparing approach reshapes the ear without removing tissue and provides elegant, predictable definition.
Cartilage Refinement (Scoring Technique)
In patients with stronger or thicker cartilage, controlled cartilage scoring allows the ear to bend naturally into a more harmonious position. This technique enhances contour while maintaining a smooth and natural profile.
Conchal Repositioning
If conchal hypertrophy significantly contributes to projection, selective reshaping and repositioning of the conchal cartilage may be performed to achieve balanced ear-head proportions. In selected cases, minor asymmetries can be corrected during the same procedure.
Dr Ranieri will invite you to discuss why you are considering an otoplasty and what you hope to achieve from the procedure. Your medical history will be carefully reviewed, including any medications, existing conditions, and lifestyle factors that may affect your suitability for surgery. Your surgeon will explain the realistic outcomes, as well as any potential risks or complications, so you can make a fully informed decision.
A small incision is typically made discreetly behind or within the natural folds of the ear, allowing the surgeon to access the underlying cartilage and tissue. Depending on your individual treatment plan, the ear may be carefully reshaped or repositioned closer to the head to achieve a more balanced, natural appearance. Fine sutures are then used to secure the new contours, helping to ensure minimal, well-concealed scarring.
You will be given a personalised aftercare plan and appropriate pain relief. When you return home, it’s important to rest, eat nourishing meals, and stay well hydrated. You’ll be advised to avoid sleeping on your side, strenuous activity and any pressure on the ears while they heal.
A follow-up appointment will usually take place the first day after surgery to check your progress and adjust your supportive head bandage if needed. Most patients can return to work and normal daily activities after around one to two weeks, although full healing and final results may continue to develop over several weeks.
Duration of surgery
Approximately 1 to 2 hours.
Type of Anaesthesia
General or local anaesthesia with sedation.
Hospital stay
Day hospital
Return to work
Usually within 1 to 2 weeks.
Complete recovery
Every patient is different, complete recovery takes between 4 to 6 weeks.
For us your safety and results are our priority. That’s why it is essential to begin with an initial consultation with Dr. Marco Ranieri. This allows him to understand your needs, explain the best treatment options, and ensure you receive fully personalised care.
By completing this contact form, you acknowledge the importance of attending an initial consultation with Dr. Ranieri before requesting treatment details or pricing.
A good candidate for otoplasty is someone who:
• Has prominent ears due to an underdeveloped antihelical fold or conchal hypertrophy
• Presents with ear asymmetry or irregular contour
• Feels self-conscious about the projection or shape of the ears
• Seeks a natural-looking, balanced result
This procedure is suitable for children from the age of 5–6 years, once ear development is almost complete, especially when psychological discomfort or teasing is present. It is also highly requested by teenagers and adults who desire improved facial harmony and long-term confidence.
From a medical perspective, ideal candidates are in good general health, have realistic expectations, and understand the recovery process. Otoplasty can correct prominent ears caused by insufficient antihelical fold formation, conchal bowl excess, mild congenital deformities, or post-traumatic irregularities.
Otoplasty (ear pinning or ear reshaping surgery) is generally a safe and well-established procedure when carried out by a qualified plastic surgeon. As with any surgical procedure, however, there are potential risks and complications that may include swelling, bruising, temporary discomfort, asymmetry, recurrence of prominence, infection, or changes in sensation. These are uncommon and will be discussed in detail during your consultation. Careful surgical planning and adherence to post-operative instructions significantly minimise complications.
Healing times can vary slightly from person to person. Most patients experience swelling, bruising and mild discomfort for the first 7 to 14 days after surgery. These symptoms gradually improve and are usually well controlled with prescribed or over-the-counter pain relief. Most patients can return to work within 7 to 14 days.
Yes. A supportive head dressing or bandage is usually worn to help protect the ears and maintain their new position during healing. It must be worn continuously for 1-2 weeks and then at night for a further 4-6 weeks, depending on your case and surgeon’s advice.