Ear Surgery (Otoplasty)

Otoplasty at ISCARE Praha 9 corrects prominent or protruding ears by reshaping the ear cartilage and pinning the ears closer to the head — addressing both aesthetic and psychological concerns that can affect children from school age onwards. Performed by MUDr. Alexander Vatľak at 19,500 Kč (both ears), the procedure uses internal sutures to reshape the antihelical fold and reduce the conchal bowl, with incisions concealed behind the ear.

Otoplasty (ear pinning surgery) at ISCARE Klinické centrum corrects prominent, protruding, or asymmetric ears by surgically reshaping the ear cartilage. The procedure is one of the few aesthetic surgeries recommended for children — most surgeons agree the procedure can be performed once the ears have reached near-adult size, typically from age 6 onwards, making ISCARE accessible to both paediatric and adult patients. The surgery is performed by MUDr. Alexander Vatľak following a consultation in which ear anatomy, degree of protrusion, symmetry, and the patient's (or parent's) aesthetic goals are discussed. Two structural factors most commonly cause ear prominence: an underdeveloped antihelical fold (the inner cartilage ridge that normally curves the upper ear), and/or an overly deep conchal bowl (the cup of the ear). Both factors may coexist. The surgical approach involves a small incision hidden behind the ear, through which the cartilage is accessed. For antihelical fold correction, cartilage-sparing sutures (Mustardé technique) fold and secure the cartilage into its natural position. For conchal reduction, excess cartilage is excised or scored. Both techniques are frequently combined. Operating time is approximately 1–1.5 hours under general or local anaesthesia depending on age and patient preference. A head bandage is worn for 7–10 days post-operatively to protect the repositioned cartilage while initial healing occurs. A protective headband is recommended at night for 6–8 weeks. Minor discomfort and numbness are typical for several weeks; permanent numbness is rare. Scars behind the ear are virtually invisible once healed. At 19,500 Kč for both ears, ISCARE's otoplasty pricing includes all surgical and aftercare components. The procedure delivers a permanent result — cartilage does not return to its original position once sutured. Results are most rewarding for school-age children as they prevent the social difficulties associated with teased appearance, but equally effective for adults.