Dr. Bustillo has been in private practice in the Miami area for over ten years and is well known for his natural and conservative results.
Otoplasty Before and After Photos
Apart from his private practice, Dr. Bustillo travels to places like Guatemala and Vietnam every year to help children with facial deformities. Dr. Bustillo continues to teach his surgical techniques to other surgeons. He has been invited to Asia, Central and South America, and the Caribbean to instruct other physicians how to perform facial plastic surgery procedures.
What is an otoplasty?
Otoplasty, or cosmetic ear surgery, is a very common facial plastic surgery procedure. The procedure is performed to correct protruding ears, which may first become apparent in the first few years of life. In fact, psychologists have found that the physical appearance of the ears can have a strong impact on the psychological development of children. Occasionally, children may develop only one protruding ear or a floppy ear, commonly called “lop ear.”
What is the best age to perform an Ear Surgery?
About half of the patients that undergo otoplasty operation are children. Parents are many times confused about the timing of otoplasty surgery in children. Ideally, the surgery should be performed between ages five and six. At this age, the ear is fully developed and the child is about to start school. This is important because it during this time that the child begins to develop self-esteem. It is also the age at which he may be teased at school. Dr. Bustillo recommends treatment at this age to promote the development of a healthy self-esteem during the early years. Adults also commonly undergo otoplasty surgery.
Why are my ears big?
Ears can protrude from the head for two main reasons or a combination of the two. The most common reason ears can protrude is due to the absence of the anti-helical fold. The anti-helical fold fails to form during the growth of the ear, and as a consequence, the ear protrudes.
The second reason is if the conchal bowl, the part of the ear that forms a “bowl” is enlarged. The reality is that most protruding ears have a combination of the two.
What is the consultation for otoplasty like?
Dr. Bustillo will meet with the patient and family to listen to their concerns. He will then examine the ears and explain why the patient’s ears are protruding. He will then explain the procedure from start to finish, so that the patient and family have a clear understanding of the surgical procedure and have appropriate expectations. Dr. Bustillo will then review various before and after pictures of patients that have undergone the otoplasty surgery with him.
The goal in otoplasty is to bring the ears closer to the head and lessen any asymmetry between them, so as to remove the focus from the ears.
How is the otoplasty performed?
The otoplasty procedure is performed via a small incision behind the ear. If the ear in missing the anti-helical fold, then Dr. Bustillo will place several permanent stitches through the ear cartilage. When these stitches are tied, they create the anti-helical fold and change the shape of the ear. When the fold is created, the ear will come in towards the head. The anti-helical fold should not be made by cutting any cartilage. This can lead to an ear deformity.
If the conchal bowl is too large, then the conchal bowl is carefully shaved and brought in closer to the head with permanent stitches. In most otoplasties, a combination of both of these procedures is done to bring the ear closer to head. It takes Dr. Bustillo about one and half hours to perform the otoplasty.
What type of anesthesia is used for the otoplasty?
The type of anesthesia used for the otoplasty depends on the age of the patient. Dr. Bustillo performs the otoplasty on children and teenagers with general anesthesia. The procedure is performed in either Baptist Hospital Ambulatory Center or at Bayside Center with board certified anesthesiologists (M.D.) Dr. Bustillo performs the otoplasty on adults under local anesthesia with oral sedation at his state of the art surgical suite.
What is the recovery from an otoplasty like?
The patient should spend the night of the surgery resting in bed. It is best that the patient keep a liquid diet for the first night. The head should be kept elevated with two pillows. The majority of patients that undergo an otoplasty procedure with Dr. Bustillo do not have any pain or discomfort. A prescription for pain medicine is given just in case.
Dr. Bustillo will see the patient the following day in the office and remove the bandage. A removable elastic bandage will be placed over the ears. This should be kept on at all times for the first 3 days after the surgery. From then on, the patient should wear the bandage only at night for the following 7 days. The patient will then be seen 10 days after the surgery to have any of the remaining absorbable stitches removed (the ones that have not absorbed).
Most patients are able to return to work or school about 6 days after surgery. They should avoid exercise for 3 weeks after surgery.
What does otoplasty cost?
The cost of the otoplasty procedure with Dr. Bustillo for a child has a range from $8,000.00. This includes operating room and anesthesia. The surgery is performed in an ambulatory surgical center (either Baptist Hospital Ambulatory Center or the Bayside Ambulatory Center) using board certified anesthesiologists.
The cost of the otoplasty procedure with Dr. Bustillo for an adult has a range from $5,500.00. This includes operating room charges. The procedure is performed in Dr. Bustillo state of the art surgical suite under local anesthesia and oral sedation.
What are the complications from an otoplasty?
As with any surgery, there are possible complications. Although rare, bleeding after an otoplasty can occur, especially if the patient took medications that affected coagulation. If this occurs, the incision is opened, any bleeding stopped and the dressing is replaced. The wound can become infected. This is also a rare occurrence, as Dr. Bustillo administers antibiotics before, during, and after the otoplasty. If an infection occurs, stronger antibiotics are given.
Related Articles
- Cosmetic Surgery Helps Children and Adults with Prominent Ears
- What to Expect From Otoplasty
- Cosmetic Ear Surgery: For Children and Adults
- What’s Behind a Successful Otoplasty
Why do some ears look too pinned back?
The reason that some ears look “too pinned back” is that the surgeon either does not have an idea of what a normal ear should look like or made an error during the surgery. Dr. Bustillo is well known for his natural and conservative results. He will provide an ear that looks natural and in the right position.
Otoplasty FAQs
Otoplasty, also known as cosmetic ear surgery, is a plastic surgery procedure that corrects and improves the shape and position of the ear. Ears that protrude are placed back in a more natural position. The shape can also be improved so that the ear appears more natural.
Good candidates for otoplasty include individuals who are physically healthy, realistic in their expectations, and interested in improving the appearance of their protruding ears. The procedure is often performed on children between the ages of five and fourteen. Otoplasty also often performed on adults.
Dr. Bustillo performs the otoplasty procedure on children beginning at age five. The reason for performing the procedure at age five is two-fold. One, the children’s ears have developed by this age. Two, the children enter grade school at this age and may be teased or picked on. Having the surgery before entering grade school will avoid this situation. Dr. Bustillo also performs the procedure on healthy adults that have protruding ears.
Dr. Bustillo will personally meet with you during the consultation. He will examine and evaluate you. He will then show you before and after pictures and then explain the surgical procedure from beginning to end. This explanation will include what surgical technique he will use, where the surgery will be performed, what type of anesthesia, and a step-by-step explanation of what the recovery will be like. You will then meet with the patient care coordinator, who will explain the scheduling details and the cost.
Dr. Bustillo performs the otoplasty procedure for children at the Baptist Outpatient Surgery Center. When Miami plastic surgeon Dr. Bustillo performs the otoplasty procedure in adults, he uses his office-based operating room.
Dr. Bustillo performs the otoplasty procedure for children using general anesthesia administered by an anesthesiologist (MD) experienced with pediatric patients.
When Dr. Bustillo performs the procedure on adults, the procedure is performed with local anesthesia and sedation.
Dr. Bustillo uses the Mustard technique to recreate the anti-helical fold. This technique uses permanent sutures to recreate the fold. No cartilage is cut or removed in this portion of the procedure. This allows for a natural shape without any sharp edges. The bowl of the ear is then set back. All of this is done via a small incision in the back of the ear.
The otoplasty Miami procedure typically takes about one hour to complete.
The incision for the otoplasty procedure is typically made just behind the ear in the natural fold where the ear meets the head.
The incision made for otoplasty will not be noticeable after it has healed.
Most patients experience some mild discomfort the first night. This is well controlled with mild pain medication.
The recovery for otoplasty is rather mild. The surgery is ambulatory, meaning that the patient is allowed to return home the same day of the surgery. Dr. Bustillo will place a bandage over the ears after the conclusion of the procedure. The patient will then return to the office on the first post-operative day. The bandage will then be removed and a small elastic bandage placed. This elastic bandage will stay on for the first five days. The patient can remove it to eat or brush their teeth, but it should remain on for the majority of the time. The patient returns to the office on the fifth post-operative day. The patient is asked to wear the bandage for the second week only during sleep.
Patients are generally able to return to work about one week after the otoplasty procedure.
Dr. Bustillo asks that his patients resume exercise three weeks after having the procedure.
Dr. Bustillo uses absorbable stitches for the otoplasty procedure.
The risks associated with otoplasty are minimal but may include the following: infection, scarring and the possibility of asymmetry.
I often perform this procedure in some individuals that have droopy or elongated earlobes. It is done in the office, under local anesthesia. Recovery is about 3 days.
Why Choose plastic surgeon Dr. Bustillo
- American Board of Facial Plastic and Reconstructive Surgery
- American Board of Otolaryngology-Head and Neck Surgery
- Facial Plastic & Reconstructive Surgery Fellowship at The New York University
- Otolaryngology – Head & Neck Surgery Residency at The University of Miami, Jackson Memorial Hospital
- General Surgery Internship at The University of Miami, Jackson Memorial Hospital