Otoplasty (Ear Pinning Surgery)
What is Otoplasty?
Otoplasty is surgery to reshape and reposition the ears. Most commonly, it is performed to "pin back" ears that protrude prominently from the sides of the head—a condition that is present from childhood and can cause significant self-consciousness in both younger patients and adults.
The procedure reshapes and repositions the ear cartilage through incisions placed discreetly behind the ear, leaving the ear looking natural and proportionate—never folded or artificial.
What Otoplasty Can Address
Ears that protrude significantly from the head
Overly large ears (macrotia)
Ear asymmetry—where one ear protrudes more than the other
Underdeveloped antihelical fold (the natural ridge of the ear)
Cupped ear or other cartilage shape irregularities
Stretched or elongated earlobes
The Procedure
Otoplasty is most often performed under local anesthesia, though general anesthesia is used for younger patients. Dr. Kieu makes a small incision in the natural crease behind the ear to access the cartilage. The cartilage is then sculpted, scored, or sutured into a new position that brings the ear closer to the head and restores a more natural contour.
Once the desired shape and position are achieved, the incision is closed with sutures. A soft head wrap is worn for the first week to protect the ears as they heal.
Recovery
Recovery from otoplasty is typically about one week before returning to most daily activities. Swelling and mild discomfort are expected in the first few days and are manageable with prescribed medications. Patients are advised to avoid activities that could bend or pressure the ears for several weeks. The final, settled result is visible once swelling fully resolves—usually within a few months.
Ideal Candidates
Adults or children (typically age 5 and older) with prominently protruding ears
Patients bothered by ear asymmetry or shape irregularities
Those in good general health with realistic expectations
Adults who have long been self-conscious about their ear appearance
Non-smokers, or those willing to stop smoking prior to surgery
Dr. Kieu's Approach
Dr. Kieu's goal in otoplasty is a result that looks entirely natural—ears that are proportionate, well-positioned, and harmonious with the rest of the face and head. She takes the time to assess each patient's unique ear anatomy and discuss the degree of correction that will look most balanced. Her suture and cartilage sculpting techniques are chosen to achieve stable, long-lasting results without an over-corrected or "pinned" appearance.
Results from otoplasty are permanent—once the cartilage is repositioned and healed, the ears remain in their new position.