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Otoplasty
Prominent ear
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| 1. Marking the amount of skin to be removed. | 2. Infiltration with local anesthetic. |
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| 3. Excision of the marked ellipse of skin in the posterior surface of the auricle. | 4. Meticulous haemostasis obviates the need for drainage. |
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| 5. Removal of the skin. A small part of the mastoid is also revealed. | 6. Elevating the skin and subcutaneous tissue. |
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| 7. Dissection of the postauricular muscle. | 8. Removing tissue over the mastoid periosteum. |
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| 9. Revealing the mastoid periosteum. | 10. The auricle is folded back for the antihelix to be formed and needles are inserted for marking. |
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| 11. The sharp edges of the needles. | 12. Placement of mattress sutures encompassing both layers of perichondrium. |
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| 13. After placement, each suture is temporarily stretched to observe the effect on the antihelix. | 14. All the sutures are placed before any are tied. The concha is sutured to the mastoid periosteum. |
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| 15. The result after all the sutures are tied. | 16. Placement of the subcutaneous sutures. |
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| 17. Placement of the dressing. |
