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Otoplasty (Ear Pinning Surgery) in Scranton, PA

For years, you learn small habits without realizing it—tilting your head in photos, choosing hairstyles that hide instead of express, feeling a flicker of self consciousness every time someone looks too long.  Otoplasty doesn’t change who you are.  It simply removed the one thing that has been quietly distracting you from yourself.

 

Afterward, the mirror feels calmer.  Your face feels balanced.  You stop thinking about your ears–and that’s the magic.  You wear your hair the way you want.  You move through rooms without adjusting, without guarding.  The confidence doesn’t arrive loudly.  It settles in, gently, and stays.  

 

Otoplasty isn’t about becoming someone else.  It’s about finally letting go of something you carried longer than you needed to.  

Prominent or asymmetric ears can draw attention away from the rest of the face, especially in photos, school settings, or social situations. Children may feel self-conscious on the playground or in the classroom; teens and adults may avoid certain hairstyles, hats, or pulled-back looks because they feel their ears stand out more than they would like.

Otoplasty—often called ear pinning surgery—is a precise procedure that reshapes and repositions the ears so they sit closer to the head, with natural curves and proportion. The goal is not to make the ears disappear, but to bring them into balance with the face so that they quietly complement your appearance instead of dominating it.

At Bruno Plastic Surgery in Scranton, otoplasty is approached with the philosophy of Enhancing Your Natural Beauty. Small, thoughtful changes in ear shape and position can lead to a meaningful increase in comfort, confidence, and ease in daily life.

 

Meet Anthony D. Bruno, II, M.D.

Otoplasty is a structural procedure. Cartilage must be reshaped, folds recreated, and symmetry improved—often in a patient who has been thinking about this one feature for years. The details matter.

Anthony D. Bruno, II, M.D. is double board certified in general surgery and plastic surgery. His training includes:

– Six years of general surgery residency

– Successful completion of the general surgery board examination

– Three additional years of plastic surgery training at Duke, one of the premier plastic surgery programs in the country, which accepts only surgeons who have completed a full general surgery residency

This extensive pathway—general surgery, general surgery board certification, and advanced plastic surgery training—provides a deep foundation in anatomy, tissue handling, and surgical judgment. Those skills are essential when working with ear cartilage, where precision and symmetry are critical to a natural-looking result.

Patients across Northeast Pennsylvania often express their confidence in Dr. Bruno’s surgical precision and unparalleled results with the hashtag “Only Dr. Bruno”, reflecting long-term trust in his meticulous, patient-centered approach.

What Otoplasty Can Improve

Otoplasty focuses on the outer ear (the auricle), not hearing. It can address:

– Ears that stick out farther from the head than you would like

– A lack of normal folds, causing a “smooth” or overly open ear shape

– Very large conchal bowls (the central, cupped part of the ear) that push the ear forward

– Asymmetry between the right and left ears in position or shape

– Ears that draw unwanted attention in photos or certain hairstyles

The goal is to recreate a natural, three-dimensional ear with defined folds and a more refined position—never a flat, “pasted back” appearance.

 

Who Is a Candidate for Otoplasty?

Otoplasty can be appropriate for:

– Children whose ears have reached near-adult size (often around age 5–7) and who are emotionally mature enough to participate in the decision

– Teens who are bothered by comments from peers or how their ears look in photos

– Adults who have been self-conscious about ear prominence for years and are ready to address it.  No age is too old.  

Ideal candidates:

– Are in good overall health

– Have realistic expectations about improvement and symmetry

– Understand that the goal is balance, not absolute “perfection”

– Can follow postoperative instructions and protect the ears during healing

For children, it is especially important that they want the surgery themselves, rather than feeling pressured. A child who is engaged and cooperative with care typically has a more comfortable experience.

 

Benefits of Otoplasty

Patients and parents often describe otoplasty as quietly life-changing. Benefits can include:

– Ears that sit closer to the head with natural curves

– Improved balance between the ears and the rest of the face

– More flexibility with hairstyles, hats, and headbands

– Less self-consciousness in school, sports, or professional settings

– A sense of relief after addressing a long-standing concern

While no procedure can guarantee a particular emotional response, many patients report feeling more relaxed and confident in photos and daily interactions once their ears no longer dominate their appearance.

Thoughtful Consultation

Your otoplasty journey begins with a detailed consultation with Dr. Bruno. For younger patients, this visit includes both the child and parent or guardian. The goal is to create a calm, informative environment where questions are welcomed.

During this visit, Dr. Bruno will:

– Ask what bothers you or your child about the ears—projection, shape, asymmetry, or all of the above

– Examine the position of the ears relative to the head

– Evaluate the natural folds, cartilage strength, and ear size

– Note any differences between the left and right sides

– Review medical history, prior ear injuries, or surgeries

Photographs are often taken to assist with planning and to document changes after surgery.

Individualized Surgical Plan

Ears are not identical from person to person—and often not from side to side. Anthony D. Bruno, II, M.D. creates a custom plan that may include:

– Creating or enhancing the antihelical fold (the visible inner ridge of the ear)

– Reducing forward projection by reshaping or setting back the conchal bowl

– Adjusting each ear separately to improve symmetry

– Deciding on incision placement, typically in the crease behind the ear

The plan is designed so that once healed, the ears look like they naturally belong to your face and head shape—not like they were surgically forced into a position.

Preparing for Surgery

To support a smooth experience, you will receive preoperative instructions, which may include:

– Temporarily pausing certain medications or supplements that increase bleeding risk (with appropriate medical coordination)

– Avoiding nicotine for a period before and after surgery to support healing

– Arranging time off from school or work, especially during the first week

– Planning for a responsible adult to provide transportation and stay nearby the first night

– Preparing soft, front-opening tops to avoid pulling clothing over the ears after surgery

These steps help protect the repair and make early recovery more comfortable.

Otoplasty is typically performed as an outpatient procedure, allowing you or your child to return home the same day.

Anesthesia and Comfort

The type of anesthesia depends on age, anatomy, and personal comfort:

– Children are usually treated under general anesthesia to keep them completely comfortable and still throughout the procedure.

– Teens and adults may have local anesthesia with sedation or general anesthesia, depending on the plan and preference.

Anesthesia is carefully managed by experienced professionals whose focus is safety and comfort.

Incisions and Cartilage Reshaping

In most cases, the incisions for otoplasty are placed on the back of the ear, in the natural crease where the ear meets the head. This location helps keep scars well concealed once healed.

Through these incisions, Dr. Bruno can:

– Gently reshape and fold the ear cartilage to create or enhance the natural antihelical fold

– Adjust the size or position of the conchal bowl so the ear lies closer to the side of the head

– Use internal sutures to maintain the new shape and projection

The key is balance—enough change to bring the ears into harmony with the face, without over-flattening or erasing natural curves.

Symmetry and Fine-Tuning

Each ear is addressed individually. Since ears are rarely identical to start with, the amount of reshaping on each side may be different to produce the most symmetric, natural-looking result in the end.

Once the desired shape and position are achieved, incisions are closed with fine sutures. A soft dressing or bandage is then placed to support the ears and protect them during the initial healing period.

Immediately After Surgery

After surgery, you will recover in a monitored area as the anesthesia wears off. Before you go home, you receive instructions about:

– Medications for discomfort

– How to care for the dressings

– Sleep position and activity restrictions

– Signs of normal healing versus things that should prompt a call to the office

A responsible adult is required to drive you home and stay nearby, particularly the first evening.

The First Week

The first week after otoplasty is focused on protection and comfort. It is common to experience:

– Swelling and mild bruising around the ears

– A sense of tightness or mild pressure under the bandage

– Low to moderate discomfort, usually well managed with prescribed or recommended medications

A head wrap or bulky bandage may be worn for the first several days to hold the ears in their new position and prevent accidental trauma. Many patients—especially children—stay home from school or work during this time.

The Following Weeks

Once the initial bandage is removed:

– A lighter headband is often used, especially at night, to protect the ears while sleeping

– Swelling and bruising continue to improve over the next 1–2 weeks

– Incision lines behind the ears begin to soften and fade with time

Most children and adults are ready to return to school or nonstrenuous work about one week after surgery, depending on their specific situation and comfort with visibility. Activities that risk bumping or pulling on the ears—such as contact sports, rough play, or certain helmets—are restricted for several weeks to allow secure healing.

Long-Term Results

As swelling resolves and tissues settle:

– The ears take on a more refined, natural shape

– The projection appears reduced, with a more balanced contour from the front and side

– Scars behind the ears typically fade to thin, discreet lines that are difficult to see

Many patients describe a sense of ease when wearing shorter hairstyles, pulling the hair back, or posing for photos. The ears become part of the overall harmony of the face rather than a focal point.

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Why Choose Dr. Bruno

Anthony D. Bruno, II, M.D., who leads Bruno Plastic Surgery is what sets it apart.  Dr. Bruno’s work goes far beyond technique. Dr. Bruno strives to change someone’s life with precision, artistry and emotional intelligence that exceptional surgery requires. Patients throughout the tri-state area choose Dr. Bruno for his attention to detail and meticulous technique. Dr. Bruno has the ability to create results that look natural, elegant, and uniquely tailored to each patient. 

Dr. Bruno is Double Board Certified. He is board certified in General Surgery and Plastic Surgery, with extensive training at the prestigious Duke University and other leading institutions. This background provides a strong foundation for managing complex breast procedures with both safety and artistry. Every patient’s plan is individualized, and every detail is considered,

Many long-standing patients express their loyalty with the hashtag #OnlyDrBruno, reflecting the trust they place in his judgment and the consistent care they receive. From your first consultation through your final follow-up, the experience is designed to be first class, organized, and supportive at every step.

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Otoplasty in Scranton, PA

Frequently Asked Questions About Otoplasty (Ear Pinning Surgery)

What age is best for otoplasty?

Otoplasty is often considered once the ears have reached near-adult size, typically around age 5–7. At this stage, the cartilage is still relatively pliable, and children are often starting school, where teasing may become an issue. Teens and adults can also benefit. The best timing depends on ear development, emotional readiness, and family preference. During consultation, Anthony D. Bruno, II, M.D. evaluates anatomy and talks with you—and your child, when appropriate—to determine the most appropriate age and timing.

Will my ears look “pasted back” after surgery?

A natural result is the priority. Otoplasty should not leave the ears flat against the head. Instead, the procedure recreates normal folds and reduces projection to a more balanced position. Dr. Bruno uses cartilage-shaping techniques and internal sutures to maintain curvature and three-dimensional shape. The goal is ears that look like they have always been there—simply less prominent.

How long is recovery, and when can I return to school or work?

Most patients spend about a week in the most visible phase of bandaging, swelling, and bruising. Many children return to school after about a week, and adults often return to nonstrenuous work within a similar timeframe, depending on their role and comfort with visibility. A protective headband may be worn at night for several weeks. Strenuous exercise, contact sports, or any activity that risks pulling on the ears is restricted longer to allow secure healing. Dr. Bruno provides a detailed timeline tailored to age, lifestyle, and surgical extent.

Will there be visible scars?

Otoplasty incisions are typically placed in the crease behind the ear, where the ear meets the head. In this location, scars are naturally concealed. Early on, they may appear pink and slightly firm; over months, they usually soften and fade into thin lines that are difficult to see without close inspection. Precise closure and proper scar care help support the best possible cosmetic result.

Does otoplasty affect hearing, and are results permanent?

Otoplasty works on the external ear and does not involve the middle or inner ear structures responsible for hearing, so it does not treat hearing loss. The goal is cosmetic refinement of shape and position. Once healed, results are generally long lasting. Cartilage and sutures are designed to maintain the new contour over time. As with any surgery, future trauma or significant pulling on the ears can affect shape, but in typical circumstances, patients enjoy stable improvement for many years.

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Contact us now to learn more about Dr. Bruno’s otoplasty surgery in NEPA.

Get in Touch For Your Otoplasty Today

Dr. Bruno is the best in the area. Get started on your journey today!

Bruno Plastic Surgery combines advanced techniques with an artist’s eye for detail. Led by Dr. Bruno, our practice focuses on achieving natural, balanced results that enhance confidence and reflect your individuality. From subtle refinements to transformative procedures, every patient receives personal care in a comfortable, discreet setting.