Archive for the ‘Otoplasty / Ear Reshaping / Ear Shaping’ Category

Otoplasty Testimonials | Reviews for Dr. Philip Young & Aesthetic Facial Plastic Surgery

Tuesday, March 26th, 2013

Seattle | Bellevue Dr. Philip Young has added a Testimonial | Review Page for Otoplasty. Click here to read more: Dr Philip Young Bellevue Seattle Testimonials | Reviews Otoplasty

See below for our before and after and a quick discussion on otoplasty:

Otoplasty in general: Otoplasty can be done with incisions behind the ear. Depending on your anatomy, the ear can be shaped to fit what you would like them to look like. We use computer morphing to find out what you are interested in changing. We also spend a lot of time talking with you to find out what your desires are. Sometimes also finding out what you don’t want can help us when we shape the ear so that we can know what we should avoid.  Really discovering all of your thoughts can be vital. Through otoplasty, you can create the bend in your ear that has always kept your ears protruding. You can also make the earlobes smaller or just get your ears closer without changing much of the rest of the appearance of the ear.

Recovery: The downtime for otoplasty is pretty fast. One of the biggest factors is that the ears are far from the eyes where most people tend to concentrate on. The farther away from the eyes, the easier the recovery in some sense. We usually have you wear a wrap for the firs week 24/ 7. Then at night for about 2 months to help it heal faster. You should be able to go out in public a few days after wards if you really need to and then you can take the wrapping off for a bit. Icing helps the first 48 hours up to a week.

Cost: Usually it costs between 3-6k for both ears. And this usually covers anesthesia.

You can read more about Otoplasty by following this link.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

 

Otoplasty | Ear Plastic Surgery – Avoiding the Revision Surgery by Seattle | Bellevue Dr. Philip Young

Thursday, January 17th, 2013

Otoplasty | Ear Plastic Surgery – Avoiding the Revision Surgery by Seattle | Bellevue Dr. Philip Young: One of the key things in otoplasty surgery is you really want to get the best results the first time and not have to do a Revision Otoplasty. I see patients from all over the united states and I discussed revision otoplasty in a book that is coming out soon. One thing that I see commonly from patients that come to me basically from all over the world is over reduction and over pinning. The hardest part to overcome, surprisingly, is the lack of skin or the skin defect. On my revision otoplasty page I discuss how to overcome this with skin flaps from the local area, skin grafts from other areas to help with this element. This is the hardest to overcome in my opinion. Then you have to worry about the cartilage defect.  Because ear cartilage is one of the areas that you can harvest cartilage, the lack of another source is a large issue.  This is when I consider medpor for this element. Also you can consider rib cartilage or septal | nose cartilage as a replacement graft. Below is a otoplasty revision where we used ear cartilage, med por, skin grafts, temporalis superficial fascial pedicled flap, and fascia to reconstruct the antihelix:

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

We have a pinterest page on otoplasty as well.

Earlobe repair for earlobe gauging

Saturday, June 11th, 2011

Earlobe repair for earlobe gauging by Dr. Philip Young of Bellevue | Seattle: I read some of the pricing on this page. I would think that most of the estimates are rather low. I charge in the range between 3-4000 for both ears when an earlobe plastic surgery reconstruction is done.  For one ear it ranges between 2-3000. It does depend on the severity of the hole that is being repaired. But after gauging, the flaps are large and this is not an easy procedure that is if you want a great result. I think if you don’t really care about the outcome a great deal then you might consider choosing a less expensive route. But you do get what you pay for sometimes.

earlobe gauging repair video

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit us at our website www.drphilipyoung.com

Earlobe repair for torn earlobe how much will that cost

Saturday, June 11th, 2011

Earlobe repair for torn earlobe how much will that cost by of Dr. Philip Young Bellevue | Seattle: In general it will cost somewhere in the range of 500-5000 for otoplasty earlobe repair depending on who you go to and what area it is. It doesn’t mean that if you spend more you are going to get a better result all the time.  But sometimes, you do get what you pay for as they say.  When the costs are higher you are going to have to see if the facial plastic surgeon is going to really put in the effort to give you the best outcome.  You should see if this will cover all of the post procedure follow ups etc and other costs.  Let’s say that you need additional work to make the result better. Most surgeons, in this case, will charge you the cost of doing the procedure but waive the surgeon fee within the first 6 months to a year.  For just a torn earlobe the pricing should be below 5000 and closer to 1-3000.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Earring Hole Adjustment Procedure Question presented by Dr. Philip Young of Bellevue | Seattle

Monday, June 6th, 2011

Earring Hole Adjustment Procedure Question presented by Dr. Philip Young of Bellevue | Seattle:

Question | issue: I have a hole in my right earlobe from piercing that is lower than the left. I don’t want closure but just to move the hole up higher is that possible? Stretched earlobes and thinning skin can be repaired with Earlobe Plastic Surgery. With an earlobe hole that is moved lower from stretching, the best way to repair this is by excising and then closing it following this with another piercing.  Otherwise to move it upward will require some type of incising and closing.  Without fully closing it, you will need to do some flaps that could be more complicated than just closing it completely. Below is a video demonstrating a earlobe repair for a earlobe that was gauged over time. The closure and movment of the ear lobe piercing would be a lot simpler than what the video will show but his is an example of how we approach working with the earlobe.

earlobe plastic surgery

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

come visit Dr. Young and Aesthetic Facial Plastic Surgery website www.drphilipyoung.com

Earlobe Stretching | Gauging and will they close on their own by Dr. Philip Young of Bellevue Seattle:

Monday, June 6th, 2011

Earlobe Stretching | Gauging and will they close on their own by Dr. Philip Young of Bellevue Seattle:

Question: Earlobe Stretching and will they close on their own and do I need surgery for this?

Stretched earlobes will not shrink and close on their own but earlobe plastic surgery will correct it. This depends on what was done and how long and how much the earlobe was stretched.  It is very small like 1-2mm wide it could.  But most likely you will need some surgical repair of the earlobe to make a difference. I prefer to close the hole completely and then repierce the ear at a later date, 3-6 months later. The surgery can be done under local or oral or IV sedation. We have a live video demo below and more information on our website!

gauged earlobe repair

Thanks for reading, Dr Young

Dr. Philip Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Philip Young MD discusses otoplasty / ear cosmetic surgery cost and ways to evaluate the pricing

Monday, August 2nd, 2010

A frequent question that people have is how much does otoplasty / ear plastic surgery / ear shaping surgery / ear reshaping surgery cost.  There are some resources for the average cost of otoplasty that range from 2500-3000 for the surgeons fee.  That doesn’t include the costs for the facility and for the anesthesia and anesthesiologist.  The fee for the facility ranges from 500-2000.  The fee for the anesthesiologist ranges from 200-1000.  So the range for an otoplasty can be from 3200-6000.  We have a surgical facility near us and they charge 650 for the first hour for the anesthesiologist and each additional hour is 300 for each additional hour.  The facility is 1000 for the first hour and each additional hour is 500.   Sometimes, otoplasty is done for just one ear.  The costs for this can be lower. Usually surgeons reduce the price a little bit for otoplasty for 2 ears instead of one.  So you will usually pay a premium for the one ear.

It is good to find out what the average price for otoplasty is for your area.  You can do this by going to multiple consultations.  Sometimes you get what you pay for, as they say.  Somewhere in the average might be a good idea, at least do consider someone that is extraordinarily above the others unless there is compelling evidence that you think that person will do the job that justifies the pricing you receive.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Dr Young talks otoplasty: Specifically the incisionless technique who it relates to age (Located in Bellevue, Issaquah, Seattle Washington).

Friday, July 30th, 2010

There are many ways to do this incisionless otoplasty.  But this can mean many different things.  When children are very young like less than 3 months old, you can mold the ear to permanently take on a new shape by just external molds. We have a system that does this.  But when you are a teen you need more involved approaches.  There are ways to do the incisionless technique but these methods are often less reliable than traditional techniques.  I often do incisionless otoplasty / ear reshaping through small punctures in the front of the ear to shape the ear.  These are better when the main cause of your ear appearance is due to a lack of fold in the periphery of the ear.  If the reason for your concern is due to the ear being too prominent because the base of the ear is too developed, the incisionless technique is even more less reliable.  The traditional technique can be done under local or iv sedation and is essentially a minimally invasive procedure and done through incisions in the back of the ear that usually heals imperceptibly in the back of the ear and as a whole.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Dr. Philip Young talks about Pixie Ear Deformity Correction (Seattle, Washington):

Friday, July 30th, 2010

Dr. Philip Young talks about Pixie Ear Deformity Correction (Seattle, Washington): A pixie ear deformity is when the earlobe gets pulled down inferiorly so that it becomes elongated.  It often occurs after a facelift procedure when there is too much skin taken and not enough fixation of the muscle to hold up the lift.  Some people are naturally like this.  There are several ways to improve this situation.  Oftentimes it entails elevating the earlobe so that it is not as pulled down.  But it can entail closing the area below the new earlobe where the used to be.  Sometimes you can avoid this closure area by relifting the face and pulling the earlobe back by moving the skin backwards.

You don’t necessarily have to correct the other ear if you are satisfied with the way it looks.  But many things can be done to change the appearance of your ears if so desired.  These are all questions that you can ask your particular physician when you go into your consult.  I try to answer as many questions as my clients can think of during the consultation. I also offer my email for them to write me more questions if they have any given that people usually start wondering about more things after they leave.  I also check my email multiple times in a day so I can be attentive as possible to their questions and concerns.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Setting back the Ear during Ear Pinning / Otoplasty is a very important part of the procedure

Saturday, March 27th, 2010

A conchal setback is when the Concha is sewn back to the tissues behind the ear to make the ear more pinned back during an otoplasty or cosmetic ear reshaping procedure (Dr Young is a Facial Plastic Surgeon in Bellevue Washington). Many times a prominent ear is due to the conchal bowl being to developed and strong.  The tissues behind the ear are reduced and then the ear is sewn backward to make the ear appear smaller.  Take a look at the picture below to see what I mean by the concha.  I have found over the years watching many famous surgeons who do ear reconstruction, otoplasty like Dr Reinish and Dennis Crockett in Los Angeles when I was training in LA and Dr Burt Brent in Woodside California that there are a lot of different techniques out there.  I have found that just removing the tissue behind the ear is not sufficient a lot of times to make the ears more pinned back.  I have found that shaving the concha cartilage down incrementally is essential to allowing the ear to more easily and more permanently be pinned back towards the head.    What I learned is that you need to be very incremental in how much you shave.  There should be a little tension in the cartilage when you pin in back otherwise the results can be less predictable.   As show in the picture below, I use a scalpel to take down the cartilage a little at a time and I usually reassess after every short session of debulking the conchal cartilage.  The scalpel is shown pointing to the areas where I have taken down the cartilage.  The first picture is the general anatomy of the ear. The second picture shows the back of the ear displaying mostly the concha cartilage.  The third picture shows the concha after it has been shaved down.  The fourth picture illustrates the cauda helicis or the tail of the helix cartilage that is responsible for protruding the ear lobe.  The forceps or pincer instrument is grabbing the cauda helicis that is reponsible for earlobe protruding.  This cartilage can be excised or taken away or it can be sutured to the concha more to cause the earlobe to be more pinned back as well.  These pictures also illustrate that most otoplasty techiniques are carried out from an incision that is from the back of the ear. This keeps the incision well hidden so that evidence of surgery is hidden and you can avoid looking like you had something done. The last two pictures are some before and afters for you to see what the results are after you get an otoplasty / ear cosmetic shaping procedure.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

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