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Large or protruding ears can lead to self consciousness in adults and children. For children, being made fun of at school and having to deal with embarrassing nicknames because of your ear shape or size can be devastating. These are some of the reasons otoplasty or ear pinning surgery is so common.

Otoplasty or ear pinning is a cosmetic procedure to alter the shape or projection of the ear. This procedure is offered by our surgeons in Indianapolis and Carmel.

Your Otoplasty will be performed in Dr. Aker and Dr. Sando‘s surgery center located in Carmel, IN

  • Castle Connolly Top Doctors
  • Indianapolis Top Doctors 2018
  • Diplomate of the American Board of Plastic Surgery
  • Member of the American Society of Plastic Surgeons
  • Member of Indiana State Medical Association

Before & After
Before & After

* Individual results may vary.

Photo Gallery

View before-and-after pictures of real patients of John Aker, William Sando

View Before & Afters

Frequently Asked Questions

  • Will my ears be smaller after having otoplasty surgery?

    They will look less protuberant and they may look smaller but the actual size of the ear will be the same.
  • Will my hearing be worse once I’ve had otoplasty surgery?

    Hearing in not affected by operating on the outer ear in otoplasty surgery.
  • Will insurance cover this surgery?

    Usually not. Typically, there is no medical need for otoplasty surgery.
  • Is it true that younger patients have softer, more malleable ear cartilage than adults?

    Yes. With normal aging, the ear cartilage becomes more fibrous and less pliable.
  • How long is recovery following otoplasty surgery?

    A dressing is worn around the ears and head for one week. There will be bruising and swelling as well. It is most important to protect them from bending or other trauma and we recommend wearing a headband at bedtime for 2-3 weeks.
  • Is this surgery safe?

    Otoplasty surgery is considered to be very safe. Anesthesia, and preventative antibiotics are used.
  • I swim frequently? How will this cosmetic surgery procedure affect this?

    One must have completely healed skin before swimming. A protective swim cap is advised for the first 6-8 weeks. Diving, as well as swimming in crowded pools, should be avoided to reduce risk of trauma.
  • Will I be more prone to ear infections if I have otoplasty surgery?


Procedure Information

Ear surgery, ear pinning, or otoplasty, is most commonly done to situate prominent ears closer to the head or to reduce the size of big ears. When ears display excessive protrusion out to the sides (termed “prominent” or “protuberant” ear), otoplasty is performed. Congenital misshapened cartilage is generally the cause of protruding ears.

Thank you so very much with your continued patience with me! I appreciate that you took the time to accommodate my additional surgical requests and produced the paperwork and pictorial evidence (tee hee!) during my scheduled appointment today; in addition to allocating the additional time on the surgery schedule! I NEVER feel rushed or as if I am taking up too much of any of the staffs’ time! (Even though I am notorious for being very chatty :)) I cannot say even great things about every single person that functions in the various roles throughout the practice! Every person has something wonderful to contribute, in their own unique way, and it makes for an exceptional experience as a patient/client!! Thanks for all you do!
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Otoplasty, or ear pinning, is one of the few cosmetic procedures done on children and is most often done on those children who have been teased for having big ears and who are suffering from self esteem issues because of it, although it can be performed on adults as well. The surgery is done using outpatient general anesthesia. Otoplasty surgery changes the cartilage framework by increasing the antihelical fold which is just inside the rim of the ear, and reducing the enlarged conchal cartilage which is the deepest concavity of the ear. The incision is hidden by placing it behind the ear. Internal non- removable sutures are used to secure the cartilage.

After otoplasty surgery, the patient awakens with a bulky head-wrapping for a dressing. This is to be kept in place and dry for one week. Early redness and swelling are to be expected. It is helpful to wear a tennis headband for protection when sleeping. During the the first several months, slight relaxation or partial reprojection of the ears is very common.

We invite and encourage you to view our before and after otoplasty pictures on this website.

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Castle Connolly Top Doctors
Indianapolis Top Doctors 2018
Diplomate of the American Board of Plastic Surgery
Member of the American Society of Plastic Surgeons
Member of Indiana State Medical Association
Indianapolis Top Doctors 2020
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