Dr. Thomas Romo, III, Facial Plastic and Reconstructive Surgery


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Otoplasty

Otoplasty or pinning back of the ears close to the head is becoming a more popular aesthetic procedure, especially since Dr. Romo designed a surgical technique that results in a more exacting result.

The standard otoplasty technique commences by cutting out a portion of skin behind the ear and then suturing back the cartilage in a partially blind technique. When the wound behind the ear is closed, because it was made before the cartilage was set, over-closure of the ear can occur. This results in an otoplasty too close to the head or flaring of the top and bottom of the ear known as a telephone deformity.

Dr. Romo designed and published his technique of otoplasty that utilizes a skin flap behind the ear. This approach allows for complete exposure of the ear cartilage for needed set-back procedures. At the time of skin closure, the redundant skin is redraped and exactingly removed, allowing for a tension free closure with no change in the postoperative ear shape.

Click here to see before & after photos

 

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