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Smaller ears


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Ears carried OPs on preschool children, adolescents and adults. To big ears can trigger serious mental disorders especially in children or promote. Especially visually striking children are often mocked by other children at school or teased. This can lead to various fears, self-doubts up to the isolation. To prevent this, parents can opt for a correction of the ears.

When can an ear surgery at the earliest?

The human ear is almost fully developed, with the 4th to 6th year of life so that can be a small change such as the creation of ears make at this age, but of course at any later time.

For major interventions such as the shrinking of the ears, you should wait until the end of puberty. Then the growth of the skull is complete and you can judge the relationship face to ears final. During development to adulthood, there are always growth stages for different areas of the body. So, the ratio of body parts may appear at times to each other unbalanced. Surgery is not necessary in such cases by growth spurts.

If the ratio but over 1 year is over heavily unbalanced to face, ears considering surgery can be considered. The ears should be placed first with minor children. With the end of puberty you can leave smaller ears.

Ears shrink OP

The cut on the ear is performed on a most inconspicuous area. Usually cuts the surgeon in the covered area of the upper ear along and then replaces the skin for the intended range. Depending on the nature of the ear, the ear is reduced accordingly by cutting out of the cartilage at the top. The crop can be an inward, pointed triangle in the simplest case, but also a polygon with several corners. The gap in the cartilage is then sewn together.

To get the best result if the piece of cartilage directly at the base of the ear is removed. So result in no visible edges or visible irregularities in the later merging of the cartilage. The skin is removed to the ear approach to, leaving a small scar at the base of the ear to the back of the ear. The scar is not visible in everyday life. The incision behind the ear is sewn with a thread. Within the framework of OP for the ear reduction can be in addition a correction of the earlobe.

The operation is usually outpatient performed in children in general anesthesia because children usually too restless for other anesthesia variants. Youth and adults can also using local anesthesia or sedation operate can be.

How long does an ear grow?

The progressive change and the slow growth of the ear only ends with death. Nose and ears of the people keep growing with increasing age. To compensate for the deterioration of the age-related hearing, the outer ear is larger and can slightly more efficient to conduct the sound in the inner ear.

Fully developed ears grow per year approx. 0.2 to 0.25 mm. In 50 years the minimum is 1 centimeter. In addition weakens the skin and the ear looks even bigger. Therefore, you will see older people often with big ears. Big ears are also a subliminal message to the age of a person in addition to the optical negative impression.

Causes to big ears

There are following rankings to causes big ears:

  • Congenital malformations of ear causing impairment of hearing
  • Other congenital malformations of ear
  • Malformation of the ear due to external agents with an impairment of hearing
  • Other malformations of the ear due to external agents

Genetic causes for big ears

Big ears, big nose, a wider jaw or a high forehead. How our face is shaped, determines our heritage. Researchers, many DNA components have already identified that make up the form. So you can make is perhaps a picture in the near future before the birth. So far, German doctors examine the heritage molecules of the fetus in the mother's womb only for high-risk pregnancies. A genetic test is applied in women over 35 who show abnormal results for biochemical tests and ultrasound examinations. But that will change in the future.

Genetic caused malformations

De grouchy syndrome. The characteristics in children with the de grouchy syndrome type I of the syndrome include relatively large ears, partly is an impairment of the ear canals, a funnel chest, among others.

The genetic causes can be vielfätig. Therefore, a formerly going to the doctor for longer-term abnormalities is always advisable.

Big ears due to external agents

Injuries and inflammation of the outer ear canal, the ear, the ear canal or eardrum can be affected. The outer ear canal cleans itself usually through movements of the top layer of the skin, which the ear wax along with dander and hair is transported outward.

But by accident, or an inflammation of parts of the outer ear were changed or removed, then the ear can be abnormal or gaping apart also too big ear cartilage.

Reimbursement by health insurance companies

Abnormalities, which have a significant impairment of hearing the result, are largely covered by health insurance. Special aesthetic wishes must usually be taken over.

Serious psychological problems are also covered by insurance by abnormally large or protruding ears.

The human ear

The human ear is made up of an individually shaped, elastic cartilage, which is covered by skin and leads to the actual ear canal. To big ears can be grown altogether or to different to pronounced points.

The outer ear consists of the external auditory meatus, ear cartilage, the ear, the ear lobe and the outside of the eardrum.

The middle ear includes the tympanic membrane and the ossicles hammer, anvil, and stirrup. The round window connects the middle ear to the inner ear. The eustachian tube connects the middle ear and nasopharynx.

The inner ear is located in a part of the temporal leg. The ear worm in the sound into nerve impulses will be implemented, and the organ of balance located in the bony labyrinth.

Characteristics of beautiful ears

  • The longitudinal axis of the ear shows a slope of up to 20 ° backwards
  • The ear is back from the edge of the Jochbeines by about 1 ear length
  • The width of the ear is approximately 50 to 60% of the length
  • Is the angle between the ear and the skull up to 30 °
  • The edge of the ear is approximately up to 2 cm away from the head
  • The earlobe and the Anthelixfalte are parallel
  • The earlobe is attached with an acute angle of the neck skin

Ears shrink and health insurance

The statutory health insurance funds take over the ear surgery for children. In adolescents and adults it depends of the personal situation. Psychological problems manifest themselves the surgery may be necessary to prevent further complications.

With a hearing impairment, health insurance takes the necessary measures. Aesthetic surgery is usually not covered, can with surgery but at low cost.

Price - cost in euro: 

2500 - 3500


Operation kind

Outpatient surgery. Children with General anesthesia. Teens and adults also under local anesthesia or sedation.

Operation duration

1-2 hours

Ability to work

After approx. 2 weeks


Most permanently


  • Infections
  • Severe pain
  • Bleeding and bruising must be treated immediately
  • Inflammation of cartilage with scar formation
  • Deformation or partial loss of the ear inflammations
  • Reduction of the external ear
  • Hypersensitivity (contact, cold...)
  • Yarns that cause allergic reactions
  • Fistula formation on the threads
  • Asymmetrical or unsightly results

OP success

assessed after about 2-4 weeks

Health insurance fund

The statutory health insurance funds take over the ear surgery for children. In adolescents and adults it depends of the personal situation.


In the context of the ears shrink OP can be also created the ears or an earlobe correction carried out with. Plan the surgery accordingly. Only after puberty and growth of the skull completed the ratio can be judged final ears to the face. A previous surgery is only useful if the deformity is very pronounced over a longer period of time is evident. A subsequent correction to the ear reduction should be performed only in an emergency. Wound healing disorders of cartilage due to altered blood flow conditions are more likely with any other operation.

Before surgery:

  • 10 days before any blood-thinning agents
  • 10 days before no cigarette and alcohol consumption

After the surgery:

  • An ear head bandage at night wear for at least 2 days.
  • No sunlight and hot tubs and saunas for 4 weeks
  • No sports for 2 to 4 weeks
  • Abstain from cigarettes and alcohol for 2 weeks

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