Otoplasty (ear pinning) in Istanbul
Otoplasty sets prominent ears closer to the head and can make uneven ears more alike. This page is for adults considering it for themselves and for parents of children aged 5 and over: how it is done, the bandage and recovery, and the risks.
- Operation time Usually 1–2 hours
- Hospital stay Usually home the same day
- Time in Istanbul About 7 days; 7–10 after general anaesthesia
- Back to work School or work after 1–2 weeks
What is otoplasty?
Otoplasty (pinnaplasty, or ear pinning) is an operation that sets prominent ears closer to the head. Through a small incision in the crease behind the ear, the surgeon reshapes the cartilage, creating a missing fold or setting back a deep ear bowl, and holds the new position with non-dissolving stitches. It can be done from about age 5, with no upper age limit. Children usually have general anaesthesia and adults often local; it takes about 1–2 hours and most people go home the same day. A head bandage is worn for about a week, and most people return to school or work within 1–2 weeks.
What it can do
- Set prominent ears closer to the head
- Create a missing fold in the upper ear (the antihelix)
- Set back a deep ear bowl (the concha) that pushes the ear outwards
- Make the two ears more alike in position and shape
- Adjust differences in ear size or shape at the same time
What it cannot do
- Make both ears exactly identical
- Be done before about age 5, when the cartilage is too soft to hold stitches
- Rule out the ear moving partly back out, which happens in about 4–5 in 100
Is it right for you?
Otoplasty suits healthy children and adults whose ears stand out or differ from each other and who want the change. Suitability is confirmed at an in-person examination.
Usually a good fit if
- Your ears, or your child's, stand out from the head, lack the upper fold or have a deep bowl
- The two ears differ in position or shape
- Your child is at least 5, has noticed their ears and wants them changed
- Your child is healthy, has no untreated ear infection and can follow the bandage rules
- As an adult, you are in good health, can stop all nicotine 6 weeks before surgery and have realistic goals
Better to wait or consider alternatives if
- Your child is under 5: the cartilage is still too soft to hold stitches
- Your child does not want the operation, even if you do
- There is an untreated chronic ear infection, or a condition that slows wound healing
- Wearing a head bandage and following the aftercare would not be possible
- Your baby is only a few weeks old: ear moulding without surgery is most effective when started in the first weeks
- You expect the two ears to match exactly
Techniques
Most otoplasties combine two or three of the steps below. The aim is a natural fold and a smooth curve, not an ear pressed flat against the head.
Mustardé stitches
Non-dissolving stitches fold the cartilage to create the missing antihelix without cutting through it. This cartilage-sparing technique is the core of most otoplasties.
Best for
A missing or weak upper fold
Furnas (concha-to-mastoid) stitches
Stitches set the ear bowl back against the tissue behind the ear. They are placed after the fold is made; over-tightening can create a 'telephone ear' shape, so tension is judged carefully.
Best for
A deep bowl that pushes the ear out
Conchal reduction
A small piece of cartilage is removed from the ear bowl so it sits further back.
Best for
A very deep or large ear bowl
Cartilage scoring
The front surface of the cartilage is weakened so it bends more easily. A meta-analysis found no difference in recurrence compared with cartilage-sparing methods, although lasting tenderness may be more frequent.
Best for
Stiff cartilage that resists folding
Incisionless otoplasty
Without a skin incision, the cartilage is loosened with a needle and stitches are placed beneath the skin. It tends to cause less pain and fewer wound problems, but does not suit strongly prominent ears.
Best for
Milder prominence
Ear moulding for newborns
A soft silicone mould worn for 4–6 weeks gives marked improvement in over 90% of suitable babies when started in the first three weeks of life. No surgery is involved.
Best for
Babies in their first weeks
Op. Dr. Bilgehan İlker
Specialist in plastic, reconstructive and aesthetic surgery
- Specialist training: Dokuz Eylül University
- Medical degree: Trakya University
- Health tourism authorization: ST-2657
- Dr. İlker speaks English and Turkish.
How Dr. İlker approaches otoplasty
Op. Dr. Bilgehan İlker is a specialist in plastic, reconstructive and aesthetic surgery, trained at Dokuz Eylül University. Her own pages describe otoplasty for suitable patients from age 5: an incision behind the ear, reshaping of the cartilage to bring the ear closer to the head, and dissolving skin stitches that do not need removing.
For young children she prefers general anaesthesia, to spare them the stress of being awake in an operating theatre; adults can often have local anaesthesia. She takes a full medical history and list of medicines first, because complete information helps reduce complications.
- The child decides too For children, the decision is made with the child and parents together after an examination. UK guidance (BAAPS) advises waiting until the child notices the ears and wants them changed.
- A bandage that matters Her own guidance is to wear the head bandage for about 7–10 days; a hairband or bandana can cover it. Removing it early can undo part of the correction.
- Honest about recurrence Ears stay in their new position for most people, but published reviews find that about 4–5 in 100 move partly back out or need a further correction.
The operation, step by step
The operation usually takes 1–2 hours, and most people go home the same day.
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Consultation
The ears are examined (the fold, the depth of the bowl and any asymmetry) and photographed. With a child, their wishes and ability to cooperate are discussed.
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Anaesthesia
Young children have general anaesthesia; older children and adults can often have local anaesthesia, with or without sedation.
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Incision
A small incision is made behind the ear, close to the crease where the ear meets the head.
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Reshaping
Small pieces of cartilage are removed if needed, and non-dissolving stitches create the fold and set the ear closer to the head.
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Closing
The skin is closed, usually with dissolving stitches; a small drain is occasionally used.
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Bandage and discharge
A padded head bandage holds the new position. You go home with it on, usually the same day.
Your days in Istanbul
Otoplasty needs a shorter stay than most facial surgery. These stages are a guide; your own dates go in your written plan.
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Examination in person
Before surgery
BAAPS advises a face-to-face examination at least 48 hours before surgery. If you are travelling far for an operation under general anaesthesia, it suggests arriving at least 72 hours before.
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Home the same day
Surgery day
Most people go home the same day, with the bandage on.
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Rest, bandage untouched
The first days
Keep the bandage clean, dry and in place, sleep on your back and avoid knocks. Skip sunbathing, swimming and long tours, as ASPS advises after surgery abroad.
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First look at the ears
When the bandage comes off
The bandage and any removable stitches come off between days 5 and 10, and the ears are checked.
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Cleared to travel
Before you fly home
ASPS advises waiting 7–10 days after facial surgery before flying; after a short operation under local anaesthesia, earlier travel may be possible with your surgeon's agreement.
Recovery, day by day
The bandage and the weeks of night-time protection matter most for the result. These are typical timings, not promises.
- Day 1
Sore and itchy
The ears ache and feel tender, and the bandage may itch. Do not remove or loosen it, as taking it off early can lose part of the correction. Sleep on your back.
- Days 2–3
Watch the pain
Pain should ease. Pain that increases over the first 1–3 days can mean a blood collection (haematoma) and needs checking straight away.
- Week 1
Bandage off
Mild bruising is common and lasts about two weeks. The bandage and any removable stitches come off between days 5 and 10; hair can be washed after that.
- Week 2
Back to school or work
The ears are tender and may feel numb. Most people return to school or work after 1–2 weeks, with a soft headband at night. Flying is usually possible after 7–10 days.
- Weeks 3–4
Night headband
Tenderness and tingling can last a few weeks. Keep wearing the headband at night; one common plan is a month of night-time use. Ask before wearing earrings or glasses that press on the ear.
- Months 2–3
Healed
Most people are fully healed by 4–6 weeks, though the ears can feel stiff for months. Swimming is usually fine from 4–6 weeks and contact sport from about 8 weeks.
- Month 6
Scar fading
The scar behind the ear keeps fading. Lasting tenderness is unusual, but in a few people it persists for months.
- Month 12
Long-term result
The ears hold their new position in most people. Protect the scar from sun and sunbeds during the first year.
Contact us straight away if you notice
- Pain that keeps increasing in the first 1–3 days (a possible haematoma)
- Pain, redness and swelling that start after day 2 or 3, especially if the earlobe is spared (a possible cartilage infection)
- Fever, or discharge from under the bandage
- Bleeding that soaks through the bandage
- A bandage that feels painfully tight
In an emergency, call your local emergency number.
Aftercare at home
- Keep the bandage clean, dry and in place, and never remove it yourself.
- Sleep on your back. Once the bandage is off, wear a soft headband at night so the ears do not fold forward on the pillow.
- Take paracetamol for pain unless told otherwise; aspirin and ibuprofen can increase bleeding.
- Keep the crease behind the ear clean once the bandage is off, and wash your hair only after the bandage and stitches are removed.
- Protect the incisions from rubbing, knocks, sun and sunbeds.
Risks and how they are reduced
Most problems after otoplasty are minor, but some need treatment or a further operation. The figures come from a review of 28 studies (3,493 patients) and a meta-analysis of 14 studies, not from this clinic.
Risks are reduced by careful selection (age 5 or over, a willing child, no active ear infection), a full medical and medicines history, carefully judged stitch tension, a correctly fitted bandage and protecting the ears at night in the weeks after surgery.
| Risk | How often |
|---|---|
Pain, itching and stiffnessPain and itching were reported by 13% in the review. Tenderness and numbness can last weeks, and the ears can feel stiff for months. | Common |
The ear moving back outRecurrence or a further operation was needed in about 5% in the review and 4.27% in the meta-analysis. Removing the bandage early increases the risk. | Uncommon |
Wound problems and visible scarsWound-healing problems affected 3% and a prominent scar 1.6%; BAAPS mentions a thick red scar in about 3 in 100. Keloid scars can occur. | Uncommon |
Bleeding or haematomaReported in 2.5% in the review and 1.34% in the meta-analysis. Increasing pain in the first days is the warning sign and needs prompt assessment. | Uncommon |
Stitch problemsStitches can work through the skin (1.8% to 2.46%). After a few weeks scar tissue usually holds the shape, so a problem stitch can often be removed without losing the correction. | Uncommon |
Infection of the skin or cartilageInfection affected 0.8%. Infection of the cartilage (perichondritis) needs prompt treatment to avoid damage to the ear. | Rare |
Shape problemsAsymmetry or an unnatural contour, such as a 'telephone ear', can occur. Very rarely, narrowing of the ear canal affects hearing. | Uncommon |
Results and how long they last
The new position is visible as soon as the bandage comes off, although the ears are swollen and tender at first. Most people are fully healed by 4–6 weeks, and the scar behind the ear keeps fading over the following months.
For most people the change is long-lasting. In published studies about 4–5 in 100 ears move partly back out or need a further correction. Results vary from person to person.
How long it lasts: Long-lasting for most people, though a small number of ears move partly back out over time.
With any surgical or interventional procedure, results vary from person to person. We recommend a detailed consultation with your doctor before any procedure.
Before and after
Before and after photos are shared only with patients’ written consent. You can ask to see examples during your consultation.
Before and afterQuestions to ask at your consultation
Take these to any surgeon you see — including us.
- What is your specialist training, and how often do you perform otoplasty?
- Which technique do you recommend for these ears, and why?
- Will it be under general or local anaesthesia, and who gives it?
- Where will the operation take place?
- How long must the bandage stay on, and how long should the headband be worn at night?
- How soon can my child return to school, swimming and sport?
- What happens if an ear moves back out?
- What does the written plan include, and whom do I contact once I am home?
What shapes your plan and quote
We do not publish prices. After Op. Dr. Bilgehan İlker has assessed your case, you receive a personal written plan that states what is included. It depends on:
- Whether one ear or both are treated
- The technique needed, including any cartilage removal
- General or local anaesthesia, and the hospital stay
- For adults, any procedure in the same session, such as rhinoplasty
- The check-ups included in your plan
We do not publish prices: every plan is personal and is written for you after your assessment.
Frequently asked questions
At what age can otoplasty be done?
From about age 5. Before that, the cartilage is too soft to hold the stitches; by 5 the ear has reached about 80–90% of its adult size. There is no upper age limit, and many adults have the operation for themselves.
Can my baby's prominent ears be corrected without surgery?
Often, if you start early. A soft mould worn for 4–6 weeks gives marked improvement in over 90% of suitable babies when begun in the first three weeks. The NHS says splints can be used before 6 months; after that the cartilage becomes too firm.
How long is recovery after otoplasty?
The bandage and any removable stitches come off between days 5 and 10, most people return to school or work after 1–2 weeks, and most are fully healed by 4–6 weeks. The ears can stay tender for a few weeks and feel stiff for months.
How long do I need to wear a headband after otoplasty?
Usually for several weeks, mainly at night, so the ears do not fold forward on the pillow. Protocols vary: one common plan is continuous wear for 1–2 weeks, then a month at night only. Follow the schedule your surgeon gives you.
Can the ears go back after otoplasty?
Yes, in a small number of people. A systematic review found recurrence or a further operation in about 5%, and a meta-analysis of cartilage-sparing techniques found 4.27%. Keeping the bandage on and wearing the headband as advised helps protect the result.
Is otoplasty painful?
The ears ache and feel tender for a few days and usually stay sensitive for a few weeks. Paracetamol is generally enough. Pain that increases rather than eases in the first 1–3 days is a warning sign and should be checked straight away.
Does otoplasty need a general anaesthetic?
Not always. Young children usually have general anaesthesia; older children and adults can often have local anaesthesia, with or without sedation. Op. Dr. Bilgehan İlker prefers general anaesthesia for young children, to spare them the stress of being awake in an operating theatre.
Will otoplasty leave a scar?
Yes, but it sits behind the ear, close to the crease where the ear meets the head, so it is usually well hidden and fades over months. About 3 in 100 people develop a thicker red scar, and keloid scars can occur.
Is incisionless otoplasty possible?
For some ears. Without a skin incision, the cartilage is loosened with a needle and held with stitches beneath the skin, which tends to mean less pain and fewer wound problems. It does not suit strongly prominent ears, which need the standard approach.
When can I swim or play sport after otoplasty?
Swimming is usually fine after 4–6 weeks and contact sport after about 8 weeks. Until then, protect the ears from knocks and rubbing. Gentle everyday activity can resume much sooner, once the bandage is off and healing is on track.
When can I wash my hair after otoplasty?
Once the bandage and any stitches have been removed, usually between days 5 and 10. Until then, the bandage must stay dry. Wash your hair the day before surgery; when you start again, wash gently and keep the crease behind the ear clean and dry afterwards.
Is otoplasty permanent?
For most people the change is long-lasting: the stitches and reshaped cartilage hold the ear in its new position. In a small number, around 4–5 in 100 in published studies, the ear moves partly back out or needs a further correction.
How long should I stay in Istanbul for otoplasty?
Plan on about 7 days after an operation under local anaesthesia, and 7–10 days for a child or after general anaesthesia. That allows a bandage check between days 5 and 10. ASPS advises waiting 7–10 days after facial surgery before flying.
Medical informationThe information on this page is general information only. It is not medical advice and does not replace a diagnosis or treatment. Every surgical and interventional procedure carries risks, which will be explained to you in detail during your consultation. Whether this procedure suits you can only be decided after an in-person examination and assessment. We encourage you to also seek independent advice from your own doctor before deciding.
Sources
- ASPS: Ear surgery
- NHS: Ear correction surgery, including ear pinning
- BAAPS: Setting back prominent ears
- Cleveland Clinic: Otoplasty
- Cleveland Clinic: Ear pinning
- StatPearls: Otoplasty
- Sadhra et al. Complications after prominent ear correction, systematic review (2017)
- Alanazi. Complications of cartilage-sparing otoplasty, meta-analysis (2024)
- ASPS: Cosmetic surgery tourism briefing paper
- BAAPS: Cosmetic tourism guidelines (2023)
A conversation, at your pace.
Would you like to talk it through first?
Send your questions, and photos of the ears if you wish. Op. Dr. Bilgehan İlker will tell you honestly whether otoplasty is worth an examination, for you or your child.
- Nef 22 Ataköy, D Blok, Kat 1, Daire 36, Çobançeşme E-5 Yanyol Cad. No:22, Bakırköy / İstanbul
- Monday to Saturday, 10:00–18:00
- +90 542 280 27 51
- Dr. İlker speaks English and Turkish.
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