Ear Shape Correction Surgery (Pinnaplasty) Treatment in India

Ear Shape Correction Surgery (Pinnaplasty) Treatment Cost in India

Cost of Treatment Including Tests / Investigations $ 1500
Cost of Stay & Meals for 3 days (For 2 persons) $ 00
Cost of Taxi, Phone, Internet for 4 days $ 12
Medical Visa Cost For One person $ 0 0
Flight Cost Return Airfare Book Online
Total Cost (All Inclusive)
$ 00
Total cost
Total Days
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Top Doctors for Ear Shape Correction Surgery (Pinnaplasty)

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Dr. Janaki


Senior Dermatologists

30 years of experience

Dr. Muthukumaran


Plastic & Aesthetic Surgeon.

32 years of experience

Dr. Aftab Matheen

Fellowship, MBBS


26 years of experience

Dr Amar Raghu Narayan G



21 years of experience

Dr Rajesh Vasu

Fellowship, M.Ch., MS


19 years of experience

Dr Srilakshmi Kolluri



12 years of experience

Dr Swapna Kunduru



14 years of experience

Dr Lakshmi Sowjanya Chekuri



7 years of experience

Dr B R N Padmini



8 years of experience

Dr N Hari Krishna Reddy



8 years of experience

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Top Hospitals for Ear Shape Correction Surgery (Pinnaplasty)

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Columbia Asia, Pune
Apollo Indraprastha Hospital, Delhi - NCR
Fortis Hospital, Bannerghatta, Bangalore
Max Hospital, Saket, Delhi - NCR
Apollo Hospital, Chennai, Chennai
Continental Hospital, Hyderabad
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Medanta Hospital, Delhi - NCR
BLK Hospital, Delhi - NCR
Paras Hospital, Delhi - NCR
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Frequently Asked Questions About Ear Shape Correction Surgery (Pinnaplasty)

Pinnaplasty or ear plastic surgery is the surgical correction of prominent ears. Usually, this kind of surgery can be performed in general anesthesia or it can also be performed under the influence of local anesthesia where local anesthetic is injected in the eyebrow to numb it. Excessive cartilage is removed, or it can be pinned back to make the ears look less prominent.  The surgery should be conducted when the child’s cartilage is not too floppy to be operated and another trend that is observed is that children are more cooperative at an older age when they know the reason behind the surgery.

Ear protrusions are commonly found among the Caucasian population. The normal Pinna or the external ear starts developing around 5 weeks in the utero from six mesenchymal proliferations around the first cleft of the branchia. There after it ascends to the region of the heads where the eyes are existent. The external ear comprises of helix, superior and inferior crura which forms the antihelix, the concha and the lobule. There are three tiers in the auricular cartilage framework and they are the anti-helix, anti-tragus complex, the Conchal complex and lastly the helix lobule complex.

The normal ear comprises of a 17-21 mm distance between the mastoid bone and the helical rim along with the auriculomastoid angle of 20-30 degree. A condition called conchal hypertrophy mainly causes the protrusion of the ears or it can be caused by the low development of the anti -helix. In some cases, it is found that it is a result of the combination of both the above conditions. Mainly both the ears are affected but the cause for the prominence may differ in both the ears. In prominent ears the protrusion is a result of the concha-mastoid angle being greater than 40 degree. The outcomes can be a result of genetic problems, trauma or something in the family heredity

The condition can be diagnosed if the ears are found to be sticking more than 2 cm from the side of the head and it is considered to be protruding or prominent ears. The underdeveloped anti-helical fold is not formed correctly and the sticking out of the external ear or specifically, the outer rim can be observed prominently by experts.

Children with protruding ears have a very deep concha which is the bowl-like space right outside ear canal’s opening and this tends to push the entire ear away from the sides of the head. Diagnosis will also check whether any functional problems exist or not like hearing or balance problems among the affected groups of children. Usually, that is never the case and the appearance problem or the cosmetic aspect is the only problem that is diagnosed.

There are many techniques described for the surgical correction of protruding ears and quite a few are variations of two main techniques namely scoring and sutures.

The suture technique comprises of permanent suture use such as Mustarde’s mattress sutures or Furna’sconchamastoid sutures and they include any kind of fixating sutures for rectifying the deformities whereas in scoring technique incisions are made into the ear cartilage.

In the Mustarde technique which was first established in the year 1963 the aim was to form an anti-helical fold in children with soft or very thin cartilage. In the procedure, an incision is made in the retro-auricular skin 8-10 mm below and at a level parallel to the helical rim. The skin covering the cartilage is made mobile caudally up to the mastoid and with respect to the helical rim, it is made mobile cranially. To prevent any kind of post-operative skin distortions the mobilization must not be extended beyond the helical rim. The auricular cartilage and the perichondrium remain intact. A needle having methylene blue is used for puncturing the new anti-helical fold ventrally and if required it is marked retro-auricularly too. On the corresponding markers, the non-absorbable mattress sutures which are transparent or white in the material is placed making use of retro-auricular access through the perichondrium and the auricular cartilage without penetrating the ventral skin. The knots of the mattress sutures can be further everted towards the interior for the prevention of later extrusion of the sutures. The main advantage of this technique is that it leaves the auricular cartilage intact. Also, perichondral hematoma risks are low but then it is only suitable for children who are of the age of 10 and not more than that. Since if the cartilage grows firm then there is an increased rise factor for the ear to get back to its original shape and the risk of the suture tearing out. There is also an additional risk of suture granuloma.

Furna’s technique is used for correcting excessive conchal cartilage. This procedure can be performed along with Mustarde’s technique. The skin exposure is made to reveal the auricularis posterior muscle and detach its insertion from the conchal cartilage. The muscle and the neighboring musculoareolar tissue attached with the medial skin flap are not touched. Along with the auricularis posterior muscle the skin is also elevated  and the soft tissues adjacent to it are moved forward as a musculocutaneous flap. Now the plane of the mastoid fascia is exposed quite well enough for providing a nest for the concha. After this the concha-mastoid sutures are placed.

Cartilage scoring: This technique was the first to elaborate anterior scoring of the cartilage for the purpose of prominent ear correction. The helix is first of all pushed into its normal position which will allow the anti-helical fold to appear. With the appearance, the fold is quickly marked. With lidocaine and adrenaline, the skin must be infiltrated so to help in the dissection of the skin from the tissues. Thereafter the postauricular skin is removed between the border of the cephalon-auricular angle and the helix and this shall run along the entire length of the ear. Once the antihelix is marked the incision is made through the thickness of the cartilage. This incision is made distal to the mark made. A curl of cartilage can be seen once the skin overlying the anterior cartilage is cut and made free. Whilst the cartilage is held the parallel incisions are made through the cartilage and perichondrium. This technique is called the anterior scoring. By doing this a smooth area of cartilage for the antihelix is produced. To hold the fold of cartilage a stitch is required and once that is completed the sutures can be placed along the edge of the skin and the antihelix is achieved by suture overlapping.

Combined techniques: There are procedures that make use of suturing, cartilage scoring and excision. The advantage of the combined technique ensures that the risks and disadvantages associated with any one technique being performed separately are avoided. Like sharp edges can arise as a result of anterior scoring which can be avoided when scoring and excision is performed along with it to give the final shape and position of the ear. A procedure was introduced that made use of anterior cartilage scoring with posterior mattress sutures which are placed along the anti-helical folds by trimming the tail of the helix and thinning of the antitragus. Finally, it is ended with excision along the posterior medial surface of the skin.

In another technique skin excision, cartilage transaction along with anterior skin the elevation is employed and cartilage scoring and mattress suturing is done to ensure that the angle of conchosphagal angle can be anchored in the right place. Variable amounts of cartilage rotation and excision is required in this case.

Combination pinnaplasty can be performed endoscopically which will involve sclaphal and mastoid suturing and posterior cartilage scoring as well. The post auricular the incision can be eliminated with this thus reducing the risk of hypertrophic scar formation.

The problem of protruding ears can be rectified without a surgery if the child is detected with early problems then ears are found to be still quite soft and ear molding can be used. This makes use of a combination of a commercially available molding system along with orthodontic molding materials in order to reshape the ear and bring it in close proximity to the side of the head. With the help of the mold the ear is splinted and the amount of time for recovery is depending on the age of the child and few more factors.

In a newborn two weeks of treatment time given will be sufficient to correct the problem. In case of older children several months of ear molding is required for achieving the permanent correction. This time is required since as the child grows the ears become less flexible and will respond less to molding arrangements.

Not much preparations are required before pinnaplasty. As a parent one must inform the doctor beforehand about the medications that are being followed and if required doctor may advise to stop the usage of some depending on its nature. The child should be fed as per the instructions of the surgeon and then brought to the hospital.

Usually a child is up few hours after the surgery but is advised to stay overnight to let the molding and stitches settle and allow the effects of the anesthesia to wear of. The ears of the patient will be covered in drapes and the patient is allowed to leave the hospital soon. General instructions will be given to the parents to check for the healing of the incision and its care. At times the ears can pain a bit which can be managed with suitable painkillers meant for children.

The ear pinning surgery cost in India starts from $1500 only and can vary with the techniques that may be applied.

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