Ear pinning (pinnaplasty)

Pinnaplasty, also known as otoplasty or ear pinning surgery, is a cosmetic procedure designed to reshape or reposition the ears for a more natural and symmetrical appearance. It can help reduce the prominence of protruding or irregularly shaped ears, improving facial balance and confidence.

Reasons for having pinnaplasty

People choose to have pinnaplasty to improve the appearance of their ears. The procedure can be performed on children and adults, helping to boost confidence and self-esteem.

Is pinnaplasty surgery right for you?

Pinnaplasty may be suitable if you’re unhappy with the shape or position of your ears and are in good overall health. However, it isn’t recommended if you have recurrent ear infections or hearing problems, for example. For children, it’s usually advised once the ears are fully developed (around age 5 and older).

Alternative treatments to pinnaplasty

Non-surgical options, such as ear moulding or splinting, can help reshape ears in very young children when the cartilage is still soft. These methods are less effective for older children and adults, where surgery may be the better choice.

During pinnaplasty surgery, small cuts are made behind the ears, usually in the natural crease where the ear meets the head. This allows the consultant to access the cartilage, which can then be reshaped, folded, or trimmed to bring the ears closer to the head and improve symmetry.

Once the desired shape is achieved, the ears are stitched into their new position, and the wounds are closed. The exact technique may vary depending on your goals and the work needed.

Pinnaplasty is usually performed under local anaesthetic or general anaesthetic, depending on your consultant’s recommendation, and sometimes with sedation as well.

To prepare for surgery, it’s helpful to quit smoking, follow a balanced diet, and stay active, as this can support healing and reduce the risk of complications.

If your surgery is under general anaesthetic, you will need to fast (avoiding food and drink) for the period specified in your admissions letter.

When you arrive at the hospital, you’ll be asked to change into a hospital gown, and your care team will explain the procedure and answer any questions you have.

Most patients can go home the same day.

Who will be involved?

Your pinnaplasty will be performed by a specialist cosmetic surgeon who will be registered with the General Medical Council (GMC). Your care team will also include an anaesthetist and nurses.

How long does pinnaplasty take?

The duration of pinnaplasty varies depending on each case, but it typically takes 1–2 hours.

Anaesthetic choices

Pinnaplasty in adults is typically carried out under local anaesthetic with a sedative to help you relax. Children often need general anaesthetic to keep them asleep throughout the procedure. Your anaesthetist will discuss the best option for you before surgery.

Pain during and after pinnaplasty surgery

Local anaesthetic ensures you won’t feel pain during the procedure. Afterwards, mild tenderness or swelling is normal and usually settles within a week. Your care team will advise on suitable pain relief and aftercare.

What to expect after pinnaplasty surgery

After your pinnaplasty, you’ll be taken to a recovery area where your care team will monitor you as the anaesthetic wears off. It’s common to feel a little drowsy, nauseous or light-headed at first, but this should pass within 24 hours.

A dressing or bandage will be placed around your head to protect your wounds.

You can usually go home the same day after you’ve had something to eat and drink, passed urine, and can move around comfortably.

Most people recover from pinnaplasty within 4–6 weeks, with visible results appearing at around 6 weeks. It may take 3 months for swelling to fully settle.

At home

You’ll be sent home with dressings over your ears and a compression bandage around your head and ears. This must be kept clean and dry, and you won’t be able to wash your hair until the dressings are removed by your care team in a few days.

When your bandage is removed, you’ll wear a lighter headband at night while your ears heal to stop them from being pushed forward. Keep the area clean and follow your surgeon’s wound care instructions carefully.

Pain and side effects

It’s normal for your ears to feel sore, tingly, or tender. Stitches may sometimes cause mild irritation. Any discomfort can usually be eased with over-the-counter pain relief as advised by your care team. Avoid smoking, as it can slow healing and increase the risk of an infection.

Activity and recovery

Arrange for someone to collect you after surgery, as you won’t be able to drive yourself home. Avoid driving for 24–48 hours, especially if you’ve had a general anaesthetic.

Most people return to work or school in a week, though you may need longer if your role involves physical activity or wearing headgear.

Avoid strenuous exercise, bending, or contact sports for at least 4 weeks, and continue wearing your headband during sports for up to 8 weeks.

Pinnaplasty is a common, low-risk procedure with a high success rate. However, like all surgeries, there are some risks and potential complications.

Common and minor risks

• Infection at the wound site, usually treated with antibiotics
• Mild pain, bruising, or swelling around the ears, which usually settles within a few weeks
• Slight differences in ear shape or position (asymmetry)
• Temporary numbness, tingling, or stiffness in the ears — flexibility returns over time
• The ears gradually protruding again if they don’t heal properly

Less common/rare risks

• Allergic reaction or complications related to the anaesthetic
• Blood clots in the legs or lungs
• Chest infection following general anaesthetic
• Excessive bleeding during or after surgery
• Inflammation of the ear cartilage
• Small blood clot under the skin of the ear (haematoma)

Most side effects are mild and temporary, and your consultant will provide clear aftercare instructions to help reduce these risks.