Experience the MPSG difference

Otoplasty in Carmel, IN

Improve ear position, projection, or symmetry with personalized otoplasty designed to create a more balanced appearance for children or adults.

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Personalized Breast Implant Surgery with Dr. John Aker and Dr. Di Beckman—Breast Implants Designed Around Your Shape, Proportions, and Goals

Whether you want to restore fullness or enhance your proportions, breast augmentation can be tailored to your desired outcome and unique anatomy. At My Plastic Surgery Group, Dr. John Aker and Dr. Di Beckman provide personalized breast augmentation for patients in Carmel, Indianapolis, and throughout Central Indiana.

From implant selection to surgical technique, your procedure is carefully planned around you. Options include our Hidden Scar Breast Augmentation technique, which avoids an incision on the breast, as well as the inframammary fold approach.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that uses implants to increase breast volume. It can enhance small breasts, replace volume lost after pregnancy or weight changes, improve breast proportions, and improve symmetry.

Because every patient is different, your surgeon will consider your breast and chest measurements, existing tissue, skin, lifestyle, and cosmetic goals when developing your treatment plan.

Who Is a Candidate for Breast Augmentation?

Breast augmentation candidates must be in good general health, have fully developed breasts, and have realistic expectations for the procedure’s outcome. Since pregnancy and breastfeeding can affect breast size and shape, patients often choose to wait until their family is complete to undergo this surgery to avoid compromising their results and a potential need for a revision procedure.

If breast sagging is a concern, implants alone may not provide the result you are looking for. In those cases, your surgeon may recommend a breast lift or discuss combining a lift with augmentation.

A consultation with one of our surgeons is the best way to find out if you are a candidate. In addition to learning about what you want to achieve, answering any questions you may have, and performing an examination, your surgeon will review your health history and medications to determine if breast augmentation is the right option for you.

Unique Approach

Why Choose MPSG for Your Ear Surgery

At My Plastic Surgery Group, our plastic surgeons perform otoplasty surgery, also known as ear pinning or ear reshaping surgery, to help improve the appearance and positioning of the ears while maintaining natural facial balance. Otoplasty is commonly performed for patients with prominent, asymmetrical, or protruding ears who are seeking a more proportionate appearance.

Because every patient’s anatomy and goals are unique, our surgeons take a highly individualized approach to treatment planning. During your consultation, your surgeon will carefully evaluate ear structure, discuss your goals, and develop a personalized surgical plan designed to achieve natural looking results.

Dr. Rosi-Schumacher

“Otoplasty is about creating harmony between the ears and the rest of the face, not simply making the ears smaller or pinning them back. I understand how prominent or protruding ears can affect a patient’s self-confidence and, for children, can have a meaningful impact on body image and how they feel about themselves. I carefully evaluate the size, shape, position, and natural folds of each ear, as well as how they relate to the head and facial features. My approach is individualized and focused on creating subtle, balanced changes while preserving a natural appearance. The goal is not only to create ears that are more harmonious with the face, but to help patients feel more comfortable and confident in their appearance.”

— Dr. Rosi-Schumacher

Frequently Asked Questions

What is otoplasty?

Surgery to reshape or pin back prominent ears for improved symmetry and proportion. This procedure can “pin back” ears that stick out and, if needed, can reshape the cartilage so the ears rest closer to the head.

How long does surgery take?

Typically 2 hours under local anesthesia with sedation or general anesthesia.

What is the recovery like?

There is mild discomfort after otoplasty surgery. Bruising and swelling begin to resolve by the first week. A headband is worn for 1–2 weeks. The full results are visible after several weeks. Patients may return to work or school in 3-4 days. Contact sports should be avoided for 3 weeks.

Are the results permanent?

Yes, once ears are repositioned and healed, results are permanent.

Who is a good candidate?

Children (usually 5+ years old) or adults with prominent or misshapen ears who are healthy. Having ears that stick out can be the source of teasing from peers and may result in self-esteem issues. This procedure can help restore confidence.

Combination Procedures

Otoplasty Before & After Results

Explore otoplasty before-and-after photos showing individualized changes in prominent or protruding ears, ear position, projection, symmetry, and balance with the face and head.

Patient A

Actual Patient | Carmel, IN

Patient B

Actual Patient | Carmel, IN

Questions & Answers with Dr. Aker

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 insurance cover this surgery?

Usually not. Typically, there is no medical need for otoplasty surgery.

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.

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 my hearing be worse once I've had otoplasty surgery?

Hearing is not affected by operating on the outer ear in 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.

Is this surgery safe?

Otoplasty surgery is considered to be very safe. Anesthesia and preventative antibiotics are used.

Will I be more prone to ear infections if I have otoplasty surgery?

No.

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The Specifics

Ear Surgery Details

The Goal of Ear Surgery

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 misshapen cartilage is generally the cause of protruding ears.

The Process

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.

Results & Recovery

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 first several months, slight relaxation or partial reprojection of the ears is very common.

The Cost of Ear Surgery

Otoplasty pricing typically ranges from $4,100–$4,600 depending on surgical complexity and individualized treatment planning. A consultation is required to provide a customized surgical quote.

Get Started with MPSG

Request an Otoplasty Consultation at Our Carmel, Indiana Location

Meet with the surgeons at My Plastic Surgery Group's Carmel office to discuss ear shape, projection, symmetry, and age-appropriate treatment planning. We welcome families and adults from Indianapolis, Westfield, Fishers, Zionsville, and across Central Indiana.

Book Your Consultation Now!

Breast Augmentation FAQs

How much does breast augmentation cost in Indianapolis?

The price of breast enhancement in the Indianapolis area varies based on the specifics of the procedure. When determining total breast augmentation cost, we factor in the cost of the implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery. A detailed cost estimate will be provided during your consultation once your surgical plan has been created.

Financing is available through Cherry, CareCredit, and PatientFi for qualified patients.

What is “rippling”?

It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women, there may be visible wrinkling on the skin surface. It is more commonly observed with saline than with silicone gel implants and can occur in different areas of the breast.

Is over-the-muscle or under-the-muscle breast implant placement better?

The breast implant pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker prefers to place the implant behind the pectoral muscle to give the upper breast a more natural slope and graceful appearance.

Will breast augmentation improve sagging breasts?

While limited breast sagging is frequently corrected by breast augmentation, a breast lift may be required for greater degrees of drooping.

What are the most common complications after breast augmentation?

A common short-term issue is temporary changes in nipple sensation. A temporary tight sensation in the armpit may also occur when the endoscopic technique is performed.

Breast implants are not considered lifetime devices and may need to be replaced after 10 to 15 years. Regular follow-up with your surgeon can help monitor your implants and address any issues if they occur.

How do I choose the right breast implant size?

Choosing the right implant size depends on your body proportions and desired outcome. We guide you through the process to ensure a natural, balanced result.

What is the difference between silicone and saline implants?

Silicone implants are filled with a cohesive silicone gel, while saline implants are filled with sterile salt water. We help you select the option that best fits your goals and anatomy during your consultation.

Is it possible to combine breast augmentation with other procedures?

Absolutely. Breast augmentation surgery is frequently combined with tummy tuck surgery or breast lift surgery for a “mommy makeover” to address pregnancy-related changes in breast and body contours.

Do saline implants last longer than gel implants?

The failure rate over time is about the same.

Could I lose nipple sensation after my breast augmentation?

It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.

If I gain weight, will my implants look different?

This varies from woman to woman. Some women experience significant changes in breast size with weight fluctuations, while others notice very little change.

I’ve heard my implants might “settle”. What does that mean?

Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax, allowing the implant to descend into a more natural position. This process is called “settling”.

How soon will I be able to return to work?

For less physical job requirements, patients can usually return to work after 3–5 days, while those with more physically demanding jobs may need 5–7 days.

Will my breast implants interfere with a mammogram?

Women with breast implants can continue to have routine mammograms. Because implants can make some breast tissue more difficult to see, additional views or special imaging techniques may be used to obtain a thorough examination. Be sure to let the mammography facility know that you have breast implants when scheduling your appointment so they can plan accordingly.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. With the inframammary approach, there will be visible scars in the crease under the breast, though they fade significantly over time.

Can I breastfeed after I have breast augmentation surgery?

Many women are able to breastfeed after breast augmentation. However, it is not possible to predict with certainty how breastfeeding will be affected. Your surgeon can discuss this with you in more detail based on your procedure and future plans for pregnancy and breastfeeding.

Explore Breast Augmentation Options at Our Carmel,
IN Plastic Surgery Practice

If you are considering breast augmentation surgery in Indiana, contact MPSG to schedule a consultation with Dr. John Aker or Dr. Di Beckman at our Carmel office to discuss implant type, size, profile, placement, and incision options. We proudly serve patients from Indianapolis and throughout Central Indiana, including Westfield, Fishers, and Zionsville.