What Is Otoplasty?

Otoplasty or ear surgery is used to correct misshapen or disproportioned ears caused by birth defects or injury. It can improve the proportion, size and shape of the ear and is most commonly used for the correction of protruding or too-large ears as well as for the repair of disfigured ears. While disfigurement of the ear is not a life-threatening condition, it can cause profound mental and emotional problems because of the way it affects a person’s appearance. Children are especially vulnerable because of the teasing and social ostracism that such physical anomalies can provoke from their peers.

Otoplasty can give the ear a natural shape and appropriate size to create balance in the facial features. The surgery is also suitable for adults who may have suffered from an injury or are unhappy with the appearance of their ears. In the case of children, the surgery is usually performed around the age of five or older, when the ear cartilage is more fully formed. Dr. Colin Hong, a Toronto plastic surgeon, counsels patients on the nature of the procedure that will be used, the potential risks, the expected results and the recovery process.

Saline-filled implants

Most women receive saline-filled implants which consist of a silicone shell filled with sterile salt. This type of implant is generally less expensive.

Cohesive silicone gel-filled implants

Recently, new cohesive silicone gel implants have become available to Canadian plastic surgery patients. Silicone gel implants tend to feel more like real breast tissue than saline implants and do not ripple or fold as much as saline implants. The current cohesive gel is less likely to seep, run or shift unlike the older type of liquid silicone implants. The silicone implants have two popular subtypes which are the “Round implants” & the “Tear Drop anatomical implants”.

Silicone Gel implants

With advancement in technology daily, new implants are been still invented under the silicone gel implants. Dr. Hong’s expertise in breast augmentation surgeries is remarkable from performing hundreds of breast augmentation surgeries with great artistic skills. His professional & passionate skills can help you achieve your prospective breast augmentation goals. You need a highly skilled and efficient plastic surgeon to give you your desired rejuvenated figure and Dr. Colin Hong is one of the top plastic surgeons in Toronto.

About Toronto Otoplasty

Toronto otoplasty can be performed as an outpatient procedure in a plastic surgeon’s surgical facility, hospital or ambulatory surgical facility using local or general anesthesia or intravenous sedation. The exact nature of the surgery will vary depending on the specific problem. In the case of protruding or too-large ears, incisions are made on the back of the ear and the surgeon removes or reshapes the cartilage to give the ear the size, position and shape that is desired. Permanent sutures are put into place to secure the reshaped cartilage. Most Toronto doctors such as Dr. Hong take care to ensure the new look is natural and that surgical scars are either hidden behind the ears or covered by the normal folds and creases of the ear. Otoplasty results are immediate and may be seen as soon as bandages are removed.

In most cases, the patient is able to go home a few hours after the surgery, once the anesthesia has worn off. The surgeon prescribe medication for any pain and discomfort and will provide detailed care instructions. Bandages should not be disturbed and the patient should use extra pillows to elevate the head to minimize swelling and excess fluid collecting near the affected area. Any vigorous activity that could impact the ear must be avoided until the healing is complete. When otoplasty is performed on children, parents need to play a major role in ensuring that post-surgical precautions are followed and medication are taken.

Although ear disfigurements can cause physical issues with hearing as well as emotional anguish, otoplasty is generally considered an elective surgery.

Dr. Hong has a long-established standing as a foremost Toronto and North York facelift, brow lift dermabrasion and eyelid surgery specialist. He is also celebrated as a gifted and accomplished Toronto and North York rhinoplasty surgeon.

Frequently Asked Questions

Choosing your desired implant for surgery depends on quite a number of multiple factors which include your native breast dimension (height and width) , projection, rib cage width, body anatomy, volume, the thickness of tissue, how you want the breast to look like after surgery. The most effective way of choosing implant size is to try out sizers from your surgeon while wearing a tight body fit.

In cases of implant weights, the bigger the implants the more they will likely weigh. The size of 100 cc silicone implant generally weighs 0.23 lbs while that of the saline implant with size 100 cc weighs 0.21 lbs. Going bigger in size, a 300 cc silicone implant weighs 0.69 pounds and a pair weighs 1.38 pounds. 300 cc saline implants weigh 0.63 lb and a pair weighs 1.26 lbs. In this case, implants weigh almost the same as the exact amount that an actual breast tissue would weigh. 

In most cases, the weight varies slightly depending on the manufacturers. There might be a slight weight variation from different manufacturers.

Whether or not a person performs a breast augmentation, the genetic makeup of the individual has a major role to play in the contribution of breast sag. Factors such as weight (increasing or decreasing), gravity, age, skin elasticity & ethnicity have a lot to do when it comes to breast augmentation sagging. In this case, use a very good supportive bra that will help you to reduce the effect of sagging.

The lifespan of breast implant is not actually guaranteed as it is not predictable when the implant lifecycle will eventually end. In which case, no matter how your counseling process has been with your surgeon before the operation, always bear in mind that you cannot have a breast implant that will last a lifetime. 

There is no set expiry date attached to breast implants because there has not been a reason to get them replaced unless there is a possible rupture or have other problems. Most times implants exceed more than 12 years and even last up to 30 years in some cases.  

There are quite a number of new implants that have been introduced for breast augmentation and are known as “jelly bean”, “gummy bear”, or “highly cohesive gel” implants that are also available for breast augmentation and they have a firmer feeling, but there are no effective long term results to indicate that they are much better or tend to last longer than the saline or silicone implants.  

Breast augmentation is normally performed in our Accreditation of Ambulatory Surgery Facilities. It also has certification by the College of Physicians and Surgeon OHP program.

Since the surgery is under general anesthesia, there is no pain during the procedure. 

The greatest period of discomfort for the patient is usually the first twenty-four to forty-eight hours after breast augmentation surgery. Afterward, pains will reduce and there will be no need for too much pain relievers as usual. We do a 24-hour recovery routine that most patients have a very little discomfort after 24 hours. In the case where breast implants are placed in the submuscular position, there will initially cause more discomfort than when it is placed in the subglandular pocket ( in front of the muscle).

In the case of breast augmentation, general anesthesia is commonly used. This will guarantee a painless procedure and also the surgeon can concentrate to deliver his best surgical result. 

You can see pre and post-operative result in our office.

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