Ear Pinning (Otoplasty): Surgical Correction of Protruding Ears

Ear pinning (otoplasty) is a surgical procedure to correct prominent or protruding ears. It is one of the most common procedures in aesthetic surgery and can be performed from approximately age 5–6 years (when the ear cartilage is fully developed) as well as in adulthood. The goal is a natural, harmonious ear position that no longer attracts undue attention.

Who Is Ear Pinning Suitable For?

Children: from age 5–6 years, before schooling (prevents teasing)
Adults: at any age, for aesthetics or after trauma
Protruding ears (antihelix fold absent or insufficient)
Overly large conchal bowl
Ear asymmetries

Surgical Procedure

Ear pinning is performed under local anaesthesia (adults) or general anaesthesia (children). The operation takes approximately 1–2 hours per ear.

Incision on the back of the ear (in the natural fold)
Exposure of the ear cartilage
Reshaping the cartilage (scoring, suturing or partial excision)
Suturing: permanent sutures fix the new ear position
Bandaging with protective head dressing

Recovery and Aftercare

Head bandage for 7–10 days
Headband at night for 4–6 weeks (to protect the result)
No contact sports for 4–6 weeks
First result visible immediately, final result after 3–6 months

Costs

Service	Costs from
Ear pinning (both sides)	from €2,000
Single ear	from €1,200
Revision	from €800

Frequently Asked Questions (FAQ)

From what age can ear pinning be performed?

Surgeons recommend waiting until approximately age 5–6 years when the ear cartilage has reached its final size and is stable enough for surgery. Earlier surgery is technically possible but not recommended. In adulthood, ear pinning can be performed at any age.

Are the results permanent?

Yes, with correct surgical technique the result is permanent. Very rarely, renewed protrusion can occur due to cartilage memory, which may require a minor revision.

Is ear pinning covered by health insurance?

For children with severe protrusion (cup angle >35°) and documented psychological stress, statutory health insurance may cover costs. For adults, this is generally a cosmetic procedure paid out of pocket.