Question:

I’ve heard of two approaches for reducing the conchal bowl in the ear: resecting sections of cartilage from this area, and using permanent sutures to pin back the ears. What are the pros and cons of these two techniques and is one better than the other?

Answer:

There is no right or wrong. Both procedures are necessary for the plastic surgeon. The procedure used is determined by the patient’s condition. In the majority of patients, pinning the ear backward is what occurs in the majority of patients. There is that one patient that has a very large conchal bowl and causes the ear to stand out from the head at a right angle. This condition needs the bowl resected but not in pieces just a section of the bowl to reduce its depth.