The results of an otoplasty are permanent. The shape, position and size of an ear do not usually change after being operated.
Sometimes the appearance of post-operative complications modifies the final results obtained after an otoplasty and makes the patient not completely satisfied, and he/she continues to look for an improvement in the appearance of their ears.
The normal healing after a first operation caused internal scars, and re-operation or secondary surgery is usually more difficult, because the tissues in the area are not as elastic as before and are more brittle and resistant to being folded or changed in shape .
Often, the surgical technique used by the first surgeon can be difficult to recognize from "outside" to the naked eye: the alterations caused in the cartilage of the ear, location and exact number of permanent suture points that had been placed, cartilage grafts performed, etc.
It is during the course of secondary surgery when it will be possible to view and find out what exactly are the changes in the cartilage of the ear and also the number and exact position of all stitches that were placed in the first operation and could cause malposition of the cartilage or its unwanted folds unnaturally. The skill of the surgeon is the key to restoring the naturalness of components of the ear and get the desired result, which must always be as natural as possible result (nobody has to notice that it has been operated).
The shape and consistency of an ear depends directly on how the shape of the cartilaginous skeleton. Cartilage is avascular (has no blood vessels that irrigate the arterial blood oxygenated and fed it) and is nourished by imbibition (that is the diffusion of substances through the intercellular space). Therefore, accidents or direct trauma to the ears (operated or not) can cause a hematoma (in the ear is often called "cauliflower hematoma") that can break contact with skin cartilage that nourishes it by soaking in both (front and back) sides and can actually cause necrosis and loss of cartilage with consequent alteration of shape of the external ear.
Examples of Secondary Aesthetic Eye Surgery: The patient had already been operated in another center and came to our office to try to improve the results.
At your consultation, Dr. Joaquim Suñol - specialist in Aesthetic Plastic Surgery Secondary - can advise on your particular case and explain all the pros and cons, the risks and complications that can occur to you, sio you can have all available information about the solution to your problem and you can decide freely to be re-operated or not, without any kind of commitment.