Daniel Demesh FPS

Incisionless Otoplasty

A facial plastic surgeon is preparing a patient for incisionless otoplasty.

Incisionless otoplasty is a non-surgical, minimally invasive alternative to traditional otoplasty surgery. Like traditional otoplasty surgery, it is done to reduce ear prominence, correcting misshapen, asymmetrical, or protruding ears to improve facial symmetry and proportional facial balance. With incisionless otoplasty, however, there is no cutting of ear cartilage involved. As a result, patients don’t have to worry about any permanent scars. The procedure is done using non-absorbable sutures to correct the anti-helical fold and reshape the anti-helix. In some cases, using threaded sutures, the ears are pinned back giving them a more attractive appearance.

Prominent or misshapen ears can be a real source of significant emotional distress for both adults and children. Fortunately, this simple non-surgical procedure can often reshape the ears in a single visit to enhance the overall cosmetic appearance of the ears.

Causes of Protruding Ears

Ears may protrude from the head for two reasons:

  • The anti-helical fold fails to form during the growth of the ear; and/or
  • The conchal bowl (the part of the ear that forms a bowl) is enlarged.

Ideal Candidate for Incisionless Otoplasty

Incisionless otoplasty is generally for anyone that suffers from protruding ears; however, eligibility for this procedure depends on each patient’s unique anatomy.

Consultation for Incisionless Otoplasty

Incisionless otoplasty involves a careful analysis of the ear deformity itself and correction of the deformity or prominence. During your consultation, Dr. Demesh will review your medical history and examine your ears to determine whether or not you are a candidate for incisionless otoplasty. If you are a candidate, Dr. Demesh will discuss the procedure with you, describing in detail the steps he’ll take to make your desired correction.

If you have any questions about your proposed treatment plan, your consultation is the time to ask questions, so you will have a clear understanding of the procedure and have appropriate expectations.

Incisionless Otoplasty FAQs

A child can have an incisionless otoplasty procedure done between the ages of 5 and 6 when the ear is fully developed and before the child is about to start school. This timing is also important because it is when a child begins to develop self-esteem.

Yes, the results are permanent, as the cartilage will conform to its new shape after 3 to 6 months, which ensures that the correction lasts.

Incisionless otoplasty is performed with sutures passed directly under the skin without a separate incision. This allows for less healing, no scarring, and an excellent result in carefully selected patients.

Dr. Demesh takes 60 minutes to perform incisionless otoplasty for both ears.

For children, general anesthesia is commonly used. For most teenagers and adults, Dr. Demesh performs incisionless otoplasty using local anesthesia with or without local sedation to maximize patient comfort.

Most patients do not have significant pain or discomfort following incisionless otoplasty. However, Dr. Demesh may prescribe pain medication just in case it is needed.

Yes, incisionless otoplasty is performed as an outpatient procedure.

Incisionless otoplasty offers several benefits to patients, including:


  • Non-invasive, non-surgical option
  • No incisional scars
  • No need for general anesthesia for teenagers and adults
  • Minimal discomfort
  • Sutures are permanent
  • Natural-looking set back ears
  • Low risk of infection
  • Faster procedure than traditional otoplasty

After the procedure, you may experience some swelling and tenderness, as well as some slight bruising. These symptoms should dissipate within a few days, and you can return to normal activity. For the first night after the procedure, you should rest in bed and keep your head elevated with two pillows. You should also follow a bland diet the first night home, and take any medication as prescribed for pain and discomfort. There is no need for bandages to be worn after the procedure. You’ll only need to wear a headband for one week then at night for one month to protect the ears and encourage healthy healing.

There is minimal downtown with incisionless otoplasty. Patients can return to work or school within 1-2 days after the procedure and should avoid exercise for 1-week post-procedure. It is also recommended that you avoid contact sports for 3 to 6 months to ensure the best results.

There are minimal complications associated with incisionless otoplasty, some of which may include asymmetries, suture failure, suture exposure, granuloma formation, or a reaction to topical ointments (e.g., bacitracin zinc/polymyxin B sulfate). In such cases, a revision procedure may be done to achieve the desired result.

In the appropriate candidate, incisionless otoplasty provides an excellent result with no visible scarring.

Incisionless Otoplasty at Demesh Facial Plastic Surgery

If you are interested in talking to Dr. Demesh about incisionless otoplasty, give us a call at (203) 712-7579 to schedule a consultation.