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Category: Otoplasty

Surgeries That Enhance Facial Structure

While some facial plastic surgeries are designed to recreate a more youthful appearance, others are designed to enhance your natural beauty. The following surgeries that enhance the structure of the face can improve your natural attractiveness. Some of these procedures may be appropriate even for young patients and can create a more aesthetically pleasing and well-defined face shape.

Why Facial Structure Matters

Before and After Chin ImplantsThe structure of the face is built around the balance of all your facial features. The angle, prominence, and proportion of each feature in relation to the others determine facial attractiveness. By enhancing a feature that is deficient in some way or by minimizing an area that is overly prominent, the overall face appears more harmonious. A face that is well-balanced is generally considered to be more attractive, youthful, and likable.


Rhinoplasty candidates may feel that their noses are the most prominent and flawed feature on their face. Whether you are unhappy with the size of your nose, the shape of its tip, bumps on your nasal bridge, the width of your nostrils, or other issues, rhinoplasty can help. Rhinoplasty improves the aesthetic appearance of the nose so that it is more balanced with the rest of the face. This allows it to blend naturally rather than stand out, thereby enhancing facial structure and overall facial attractiveness. Even younger patients who are adequately prepared can undergo teenage rhinoplasty.


Otoplasty can improve facial harmony by restructuring the ears so that they are smaller, more natural in appearance, and/or lie flatter against the head. When the ears are made to be less prominent, the remaining facial features become more of a focal point. Ear surgery may be appropriate even for children as young as 6 years old.

Lip Enhancement

Lip enhancement can improve the appearance of the lips and mouth. Using fillers, reshaping, implants, or a lip lift, a surgeon can make the lips appear more prominent, shapely, and youthful. Lip enhancement may be recommended for individuals with naturally thin or flat lips or for individuals whose lips have become thinner with age. Additionally, if the lips are naturally oversized, a lip reduction can reduce their size so that they are more proportionate to the other facial features.

Facial Implants

Facial implants can have a profound impact on the appearance of the face as a whole. Where the facial skeleton is deficient, implants can be inserted to improve definition and create better angles and contours. For example, a chin implant often improves the balance of the nose and chin and alters the look of the entire face. Cheek implants, sub-malar implants, or jaw angle implants can augment these features to enhance facial structure. Since the facial bones change shape with age, facial implants can also restore more youthful facial contours.

When choosing your facial rejuvenation or enhancement treatments, consider whether you would like to enhance your facial structure by undergoing one or more of these procedures. Dr. Pearlman is a distinguished facial, plastic, and reconstructive surgeon and can advise you regarding which procedures will help you achieve your aesthetic ideals. To request your personal consultation with Dr. Pearlman, please contact us online or call (212) 223-8300 today.

Otoplasty: Corrective Ear Surgery for Children

Before and After OtoplastyThe deeply personal decision to undergo an elective surgery becomes even more complicated when considering surgery for a child. Otoplasty is a procedure that may be appropriately performed on children as young as 6 years old. The following factors can determine whether and when it is appropriate to consider ear surgery for children.  

Motivation and Desire for Surgery

For children to have a positive surgical experience and a rewarding outcome, they must be fully cooperative with the parents and the surgeon. This depends largely on the child’s own motivation and desire for otoplasty. Children should not be pressured into undergoing surgery if they would not otherwise want it for themselves. If a child is coerced into undergoing otoplasty, he or she may develop body image issues and poor self-confidence. Often this discussion is initiated by the child, in the form or reporting teasing or being self conscious about their appearance. If you suspect that your child is concerned about the appearance of their ears, you might ask if they have been teased about anything or called any names. This gives them the opportunity to share their feelings and experiences. If not, this discussion can be put off until they get older. If they do report concerns or teasing (now called bullying), children must be introduced to the idea of surgery, but the idea should be introduced in such a way that the child can fully understand the motivation and make their own decision about it. If they are sufficiently prepared and self-motivated, it will be clear by how they react to computer imaging of their potential surgical results during the consultation. The reaction of a self-motivated child upon seeing the final results after surgery is even more satisfying to watch.


Children must be at least 6 years old to undergo ear surgery. Before this age, the ear cartilage is too weak and the ears are too small to achieve excellent cosmetic results. By age 6, the ears are 90 percent of their adult size and the ear cartilage is strong enough to withstand corrective surgery. In some cases, it is best to undergo ear surgery early or as soon as the ear cartilage is sufficiently grown in order to achieve the desired results. Children who undergo otoplasty at 6 or older are typically old enough to participate in the decision-making process but not so old that they have endured years of schoolyard teasing.

Maturity Level

Any child who is a candidate for ear surgery should be mature enough to understand the procedure. The child must be able to recognize the reason for it and to cooperate fully with the demands of the procedure and the required behavioral adjustments during recovery. They must also be mature enough to recognize that this procedure is designed to correct one aspect of their physical appearance and cannot magically improve self-esteem or body image. Dr. Pearlman considers this procedure to be reconstructive rather than aesthetic in nature, as it restores and normalizes the appearance of the ears. If a child can understand this concept, he or she may be ready for surgery.

Ear Deformities or Abnormal Ears

Children are always noticing details of the world around them. They very quickly pick up on what is “normal” and what is not. Consequently, if they realize that they have an ear deformity or abnormally protruding ears, they may become hyper-sensitive and consider the appearance of their ears to be a serious issue. They may also experience teasing or bullying from their peers and handle it with difficulty, developing social anxiety and poor self-esteem. As a parent, being able to recognize a physical abnormality in your child’s ears gives you the opportunity to recommend reconstructive ear surgery and potentially save your child from these issues.

Non-surgical Options

Some ear deformities can be corrected in infants without any surgery. For instance, lop ear, where the top of the ear bends over, may be treated with an ear mold placed on the child’s ear shortly after birth. However this must be started within a few weeks of birth to be effective. Because the new cartilage is so soft and pliable in newborns, this form of treatment is appropriate and can correct the shape of the ear within a matter of weeks.

Otoplasty can improve outer ear abnormalities and deformities to restore a more balanced and natural appearance. If you are considering ear surgery for your child, Dr. Pearlman can help you understand the details of the procedure and help you present the idea to your child in a way that is healthy, constructive, and positive. To schedule a personal consultation with Dr. Pearlman, call 212-223-8300 or complete our online contact form today.

What is Otoplasty?

dreamstimelarge_17122979What is Otoplasty?

Otoplasty, also known as cosmetic ear surgery, is a procedure to change the shape, position or size of the ears. Techniques vary based on what kind of correction is needed. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars.  Generally speaking, there are two problems with protruding ears: the first is a lack of formation of the “anti-helical fold”, and the second is an excessively deep cup of the ear called the “conchal bowl.” What otoplasty does is helps to create or deepen the anti-helical fold by using a special suture technique called Mustardé sutures. The conchal bowl can be made less shallow by more sutures and sometimes the removal of small ovals of cartilage. This procedure is individualized for each patient and accomplished through a small incision that is hidden in the crease behind the ear.

Otoplasty is one of the few cosmetic procedures that can be performed on children, as young as 6 years old. By the age of 6, a child’s ears are 90% adult size.  This is when most children start to socialize more in school and may be subjected to teasing. So, surgery at this young age is advisable for a child who is uncomfortable with negative attention about their ears. However, we often find that young children may not be forthcoming about being teased, so it is important to talk to them about their experiences to determine if they are feeling ostracized or embarrassed because of their ears. If they aren’t bothered by their ears, surgery is not necessary or should be put off until it becomes a problem.

Opting for plastic surgery, especially on a child is never an easy decision. There are people who suggest that this should never be done. But, if your child is being teased and it is affecting their ability to develop self-esteem, then he or she might be a candidate for surgery. We don’t consider otoplasty cosmetic or aesthetic plastic surgery. Rather, we believe it to be reconstructive plastic surgery for an inborn deformity almost akin to cleft lip surgery or even braces for buckteeth.

This procedure is very safe, with an extremely high success rate. For adults, otoplasty is performed under local anesthesia. For children, we perform this procedure under general anesthesia.


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