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Is Ear Pinning Haram

Is Ear Pinning Haram?Is it permissible in Islam to have your ears pierced? It’s been deemed acceptable by a wide range of experts. They find fault with the story since it does not impose any requirements on the operator of a temporary procedure. However, other evidence from the Prophet (peace and blessings be upon him) and the actions of his companions support the obligation to apply the conditions in this case.

Every devout Muslim knows that it is not easy to follow the teachings of Islam in the modern world. Living in a country that is not predominantly Muslim makes it even more challenging to follow the teachings of Islam in everyday life. Since Allah swt has endowed us with a keen intellect, Islam is excellent at drawing our attention to the finer points that we may otherwise miss.

The technique of piercing the concha, or innermost part of the ear, is sometimes promoted as having health benefits. Stress, the common cold, sinus headaches, and migraine are just some of the ailments that “The Benefits of Ear-Pinning” promises to alleviate. However it is not approved by any medical professional in the world. Read on to learn more on otoplasty cost/otoplasty.

Is Ear Pinning Haram

Is Ear Pinning Haram

Ear correction surgery is cosmetic surgery to alter the size or shape of the ears, or pin them back if they stick out. Generally, ear correction surgery is safe and most people are happy with the results. However there are risks to consider, and it may be expensive.

You may want to ask your surgeon:

  • about their qualifications and experience
  • how many ear correction operations they’ve done
  • how many operations they’ve done where there have been complications
  • what sort of follow-up you should expect if things go wrong
  • what their patient satisfaction rates are

What ear correction surgery involves

What happens during ear correction surgery depends on the type of surgery you have.

An otoplasty on an older child or adult can be done under local anaesthetic by either a plastic surgeon or an ear, nose and throat (ENT) surgeon.

It usually involves:

  • making a small cut behind the ear to expose the ear cartilage
  • removing small pieces of cartilage if necessary
  • putting stitches at the back of the ear to reshape or position it closer to the head

An otoplasty usually takes 1 to 2 hours. If local anaesthetic is used, you’ll be able to go home the same day.

You may need a bandage around your head to help your ears heal in their new position and protect them from infection.

Incisionless otoplasty

This newer technique does not make cuts in the skin.

It involves inserting a needle into the surface of the ear cartilage to make it more flexible. Stitches are used to hold the ear in its new shape or fix the cartilage to a bone behind the ear.

However, there is not much good-quality evidence to prove the procedure is safe, or show how well it works.

Otoplasty

Otoplasty — also known as cosmetic ear surgery — is a procedure to change the shape, position or size of the ears. You might choose to have otoplasty if you’re bothered by how far your ears stick out from your head. You might also consider otoplasty if your ear or ears are misshapen due to an injury or birth defect.

Otoplasty can be done at any age after the ears have reached their full size — usually after age 5 — through adulthood.

If a child is born with prominent ears and certain other ear-shape problems, splinting may successfully correct these issues if started immediately after birth.

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Why it’s done

You might consider otoplasty if:

  • Your ear or ears stick out too far from your head
  • Your ears are large in proportion to your head
  • You’re dissatisfied with a previous ear surgery

Otoplasty is typically done on both ears to optimize symmetry.

Otoplasty won’t change the location of your ears or alter your ability to hear.

Risks

Otoplasty, as with any other type of major surgery, has risks, including the risk of bleeding, infection and an adverse reaction to anesthesia.

Other risks associated with otoplasty include:

  • Scarring. While scars are permanent, they’ll likely be hidden behind your ears or within the creases of your ears.
  • Asymmetry in ear placement. This could occur as a result of changes during the healing process. Also, surgery might not successfully correct preexisting asymmetry.
  • Changes in skin sensation. During otoplasty, the repositioning of your ears can temporarily affect skin sensation in the area. Rarely, changes are permanent.
  • Allergic reaction. It’s possible to have an allergic reaction to the surgical tape or other materials used during or after the procedure.
  • Problems with stitches. Stitches used to secure the ear’s new shape might work their way to the surface of the skin and need to be removed. This can cause inflammation of the affected skin. As a result, you might need additional surgery.
  • Overcorrection. Otoplasty can create unnatural contours that make ears appear to be pinned back.

How you prepare

You’ll talk to a plastic surgeon about otoplasty. During your first visit, your plastic surgeon will likely:

  • Review your medical history. Be prepared to answer questions about current and past medical conditions, especially any ear infections. Your doctor may also ask about any medications you’re taking or you’ve taken recently, as well as any surgeries you’ve had.
  • Do a physical exam. To determine your treatment options, your doctor will examine your ears — including their placement, size, shape and symmetry. The doctor might also take pictures of your ears for your medical record.
  • Discuss your expectations. Your doctor will likely ask why you want otoplasty and what results you’re expecting after the procedure. Make sure you understand the risks of otoplasty, such as possible overcorrection.

If you’re a good candidate for otoplasty, your doctor may recommend that you take some steps to prepare before your procedure.

Food and medications

You’ll likely need to avoid aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.

Other precautions

Smoking decreases blood flow in the skin and can slow the healing process. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.

Also, you’ll need to make plans for someone to drive you home after surgery and stay with you for the first night of your recovery.

What you can expect

Before

Otoplasty can be done in a hospital or an outpatient surgical facility.

Sometimes the procedure is done with sedation and local anesthesia, which numbs only part of your body. In other cases, general anesthesia — which renders you unconscious — may be given before your procedure.

During

Otoplasty techniques vary based on what kind of correction is needed. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars.

Your doctor might make incisions:

  • On the backs of your ears
  • Within the inner creases of your ears

After making incisions, your doctor might remove excess cartilage and skin. He or she will then fold the cartilage into the proper position and secure it with internal stitches. Additional stitches will be used to close the incisions.

The procedure typically takes about two hours.

After

After otoplasty, your ears will be covered in bandages for protection and support.

You’ll likely feel some discomfort and itching. Take pain medication as recommended by your doctor. If you take pain medication and your discomfort increases, contact your doctor immediately.

To keep pressure off your ears, avoid sleeping on your side. Also try not to rub or place excessive force on the incisions. Consider wearing button-down shirts or shirts with loosefitting collars.

A few days after otoplasty, your doctor will remove your bandages. Your ears will likely be swollen and red. You may need to wear a loose headband that covers your ears at night for a few weeks. This will help keep you from pulling your ears forward when rolling over in bed.

Talk to your doctor about when — or if — your stitches will be removed. Some stitches dissolve on their own. Others must be removed in the doctor’s office in the weeks after the procedure.

If you have a bandage around your head, keep it clean and dry. You will not be able to wash your hair until after the bandage has been removed. You might need to wear a headband at night for several weeks to protect your ears while you sleep.

The stitches may come to the surface of the skin or make your ear feel tender. Treat any pain with painkillers, such as paracetamol or ibuprofen.

  • After 7 to 10 days: The bandage (if used) and stitches are removed (unless they’re dissolvable stitches).
  • After 1 to 2 weeks: Most children can return to school. 
  • After 4 to 6 weeks: Swimming should be OK.
  • Around 12 weeks: Contact sports should be OK.

Side effects

After ear correction surgery, it’s common to have:

  • a small scar behind each ear, which will fade in time
  • sore and tender ears for the first few days
  • numbness or tingling in the ears for a few weeks
  • slight bruising around the ears for about 2 weeks

What could go wrong

Ear correction surgery can occasionally cause:

  • inflammation of the ear cartilage
  • a blood clot in the skin of the ear
  • stiff ears – it can take several months for them to become flexible again
  • the ears no longer being symmetrical
  • the surgery not being successful and the ears starting to protrude again

Any type of operation also carries a small risk of:

  • excessive bleeding
  • infection where the cut was made
  • an allergic reaction to the anaesthetic

Your surgeon should explain how likely these risks and complications are and how they would be treated.

What to do if you have problems 

Cosmetic surgery can sometimes go wrong and the results may not be what you expected.

Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms. The surgeon who treated you should be able to deal with any complications. If you’re not happy with the results or think the procedure was not done properly, speak to your surgeon at the hospital or clinic where you were treated.

Otoplasty Cost

Is ear pinning halal? Many scholars state that it is permissible. The defect in their opinion is that the narration does not contain any condition upon the person who performs a non-permanent operation. However, the obligation to apply the conditions in this case is supported by other evidence from the Prophet (peace and blessings be upon him), as well as by his companions’ actions.

As any practicing Muslim knows, living a contemporary Islamic life takes some serious effort. We live in a non-Muslim country so it’s even more difficult to navigate through the material world while staying true to the dictates of one’s faith. Islam is great at pointing out the details that sometimes escape us; after all, Allah swt has granted us with an intelligent mind,

Ear pinning, a practice of piercing the inside flap of the ear is claimed to offer certain benefits to people. “The benefits of ear-pinning”, as it’s labeled, claims to offer relief from problems like stress, common cold, sinus headaches and migraine. However it is not approved by any medical professional in the world. Read on to learn more on otoplasty cost/otoplasty.

Ear pinning surgery is a form of cosmetic surgery used to treat protruding or abnormally large ears. Most patients who have surgery to fix their ears are pleased with the results. However, there are potential drawbacks and costs to think about.

An otoplasty or pinnaplasty is a surgical procedure used to reposition the ears. It’s most common in younger kids and teenagers, but adults can get it done too. Children under the age of 5 should not have ear pinning surgery because their ears are still developing. Ear cartilage is too tender for stitches at a young age.

Ear correction surgery is sometimes available on the NHS

Ear correction surgery may be available on the NHS, particularly for children who need it. Occasionally, adults with prominent ears may be able to have a pinnaplasty on the NHS if it’s causing them significant distress.

How much ear correction surgery costs

In the UK, ear correction surgery may cost between £2,500 to £3,500, plus the cost of any consultations or follow-up care that may be needed. The exact cost will depend on the type of surgery you’re having. Make sure you find out the full cost and what’s included.

What to think about before you have ear correction surgery

It’s important to have solid reasons for wanting the operation before moving further. Don’t rush into making a choice.

Finding a good doctor
See if the facility where you plan to have ear corrective surgery in England is accredited by the Care Quality Commission (CQC).

In England, the Care Quality Commission (CQC) requires all cosmetic surgery clinics and hospitals to be registered. It’s important to use caution when looking for ear surgery clinics and specialists online. Some medical centers may pay to have their names prominently displayed in search results.

Verify the doctor’s registration with the GMC (GMC). They need to be licensed to practice and included on the specialist register. In addition, you can verify the surgeon’s credentials by contacting the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) or the British Association of Aesthetic Plastic Surgeons (BAAPS) to see if they are listed as “full members” on the plastic surgery specialist register.

Before having surgery, you should always schedule a consultation with the surgeon.

Inquire with your surgeon about:

concerning their background and expertise
how many times they’ve operated to fix someone’s ears and how often issues have arisen
what their patient satisfaction rates are and what kind of follow-up you should expect if something goes wrong.
Details about surgical ear-trim procedures
The specifics of your ear surgery will be determined by the procedure you choose.

Local anesthesia allows a plastic surgeon or an ear, nose, and throat (ENT) surgeon to perform an otoplasty on a preteen or adult patient.

Typically, this entails

exposing the ear cartilage by creating a little incision behind the ear.
reshaping or repositioning the ear closer to the skull by removing tiny chunks of cartilage and stitching it in place behind the ear
Depending on the severity of the case, an otoplasty may take longer. Same-day discharge is possible with the use of local anesthetic.

A headband may be necessary to keep your ears from moving while they heal in their new location and to prevent infection.

Otoplasty without incisions
No incisions are required for this cutting-edge procedure.

Ear cartilage can be made more pliable by putting a needle into its surface. Ears can be reshaped using stitches or the cartilage can be secured to the bone behind the ear.

However, there is a dearth of high-quality evidence demonstrating the procedure’s safety and efficacy.

Otoplasty

Changing the size, shape, or position of one’s ears is called a toplasty, or cosmetic ear surgery. If the protrusion of your ears from your head is bothersome, you may want to consider otoplasty. If you were born with a birth defect or suffered an injury that left you with a misshapen ear, otoplasty may be an option for you.

After the ears have reached their adult size, typically after the age of 5, otoplasty can be performed at any age.

Prominent ears and other ear-shape defects can sometimes be corrected with splinting if started soon after birth.

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The Reason Why
Otoplasty is a viable option if you have:

One or both of your ears protrude ridiculously from your skull.
Your ears are enormous compared to the size of your skull.
You had ear surgery before and now you don’t like the results.
Otoplasty is most effective when performed on both ears at once.

Your hearing or ear placement will not be affected with otoplasty.

Risks
The hazards of otoplasty are similar to those of any major operation, including the potential for blood loss, infection, and anaesthetic reactions.

Otoplasty also carries the danger of:

Scarring.

Scars are permanent, however they are usually not noticeable since they are buried behind or inside the ear.
Ear positional asymmetry.
Alterations throughout the recovery process may cause this to happen. A preexisting asymmetry may also render surgical correction futile.
Sensation shifts on the skin.
Otoplasty, in which the ears are repositioned, can have a short-term impact on local skin sensation. Rarely do alterations last forever.
Sensitivity to allergens.
Allergies to surgical tape or other materials used during or after surgery are possible.
Stitching issues.
The necessity to remove the stitches that were utilized to hold the ear’s new shape in place is a possibility. Inflammation of the skin may result. This may necessitate further surgical intervention.
Overcorrection.
Unnaturally pinched-back ears may be the result of otoplasty.
Preparation Methods
An otoplasty consultation with a plastic surgeon is in your future. Your plastic surgeon is likely to do the following at your initial visit:

Take a look at your medical records.

Be ready to discuss your health history, particularly if you’ve ever had an ear infection. Your doctor may also inquire as to the types and dosages of medications you are currently taking, as well as any recent surgical procedures you may have undergone.
Get a full physical.
Your doctor will look at the position, size, shape, and symmetry of your ears to make a diagnosis. It’s possible that the doctor will photograph your ears as part of your medical file.
Talk about your anticipations.
Your doctor will probably want to know why you want otoplasty and what you hope to achieve with it. Overcorrection is one of the potential side effects of otoplasty, which you should be aware of.
Your doctor may give you pre-op instructions if he or she thinks you’re a good candidate for otoplasty.

Nutrients and drugs
Aspirin, ibuprofen, and other herbal supplements can cause bleeding, so you should probably avoid them.

Other Safety Measures
Skin healing is slowed by reduced blood flow, which smoking can cause. If you smoke, you will need to give up the habit before surgery and while you’re healing.

You’ll also want to arrange for someone to bring you home and remain the first night after surgery.

What to anticipate
Otoplasty must first be performed in a medical facility that offers outpatient surgery.

Sedation and local anaesthetic, which numbs only a specific area, are sometimes used to do the treatment. Some procedures require the use of general anesthesia, which puts the patient to sleep.

Otoplasty procedures can be tailored to address specific issues. Your plastic surgeon will make incisions and create scars in accordance with the method they use.

Your doctor may need to cut you if:

Where your ears bend backwards
At the bend where your ear folds inward
Your doctor may recommend removing some skin and cartilage after making incisions. The surgeon will then sew the cartilage from the inside to keep it in place. The wounds will be closed with further stitches.

The procedure typically takes about two hours.

After

After otoplasty, your ears will be covered in bandages for protection and support.

You’ll likely feel some discomfort and itching. Take pain medication as recommended by your doctor. If you take pain medication and your discomfort increases, contact your doctor immediately.

To keep pressure off your ears, avoid sleeping on your side. Also try not to rub or place excessive force on the incisions. Consider wearing button-down shirts or shirts with loosefitting collars.

A few days after otoplasty, your doctor will remove your bandages. Your ears will likely be swollen and red. You may need to wear a loose headband that covers your ears at night for a few weeks. This will help keep you from pulling your ears forward when rolling over in bed.

Talk to your doctor about when — or if — your stitches will be removed. Some stitches dissolve on their own. Others must be removed in the doctor’s office in the weeks after the procedure.

If you have a bandage around your head, keep it clean and dry. You will not be able to wash your hair until after the bandage has been removed. You might need to wear a headband at night for several weeks to protect your ears while you sleep.

The stitches may come to the surface of the skin or make your ear feel tender. Treat any pain with painkillers, such as paracetamol or ibuprofen.

  • After 7 to 10 days: The bandage (if used) and stitches are removed (unless they’re dissolvable stitches).
  • After 1 to 2 weeks: Most children can return to school. 
  • After 4 to 6 weeks: Swimming should be OK.
  • Around 12 weeks: Contact sports should be OK.

Side effects

After ear correction surgery, it’s common to have:

  • a small scar behind each ear, which will fade in time
  • sore and tender ears for the first few days
  • numbness or tingling in the ears for a few weeks
  • slight bruising around the ears for about 2 weeks

What could go wrong

Ear correction surgery can occasionally cause:

  • inflammation of the ear cartilage
  • a blood clot in the skin of the ear
  • stiff ears – it can take several months for them to become flexible again
  • the ears no longer being symmetrical
  • the surgery not being successful and the ears starting to protrude again

Any type of operation also carries a small risk of:

  • excessive bleeding
  • infection where the cut was made
  • an allergic reaction to the anaesthetic

Your surgeon should explain how likely these risks and complications are and how they would be treated.

What to do if you have problems 

Cosmetic surgery can sometimes go wrong and the results may not be what you expected.

Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms. The surgeon who treated you should be able to deal with any complications. If you’re not happy with the results or think the procedure was not done properly, speak to your surgeon at the hospital or clinic where you were treated.

Otoplasty Cost

According to the American Society of Plastic Surgeons, the average cost of otoplasty is $3,156. The cost may be lower or higher depending on factors like the plastic surgeon, your location, and the type of procedure that’s used. In addition to the costs of the procedure, there may also be other costs.

Otoplasty is a type of cosmetic surgery involving the ears. During otoplasty, a plastic surgeon can adjust the size, positioning, or shape of your ears.

Some people choose to have otoplasty to correct a structural abnormality. Others have it because their ears protrude too far from their head and don’t like it.

Keep reading to discover more about otoplasty, who typically has it, and what the procedure is like.

What is otoplasty?

Otoplasty is sometimes referred to as cosmetic ear surgery. It’s performed on the visible portion of the outer ear, called the auricle.

The auricle comprises folds of cartilage that are covered in skin. It starts to develop before birth and continues developing in the years after you’re born.

If your auricle doesn’t develop properly, you may choose to have otoplasty to correct the size, positioning, or shape of your ears.

There are several different types of otoplasty:

  • Ear augmentation. Some people may have small ears or ears that haven’t completely developed. In these cases, they may want to have otoplasty to increase the size of their outer ear.
  • Ear pinning. This type of otoplasty involves drawing the ears closer to the head. It’s performed on individuals whose ears stick out prominently from the sides of their head.
  • Ear reduction. Macrotia is when your ears are larger than normal. People with macrotia may choose to have otoplasty to reduce the size of their ears.

Who’s a good candidate for otoplasty?

Otoplasty is typically used for ears that:

  • protrude from the head
  • are larger or smaller than normal
  • have an abnormal shape due to injury, trauma, or a structural issue from birth

Additionally, some people may have already had otoplasty and aren’t happy with the results. Because of this, they may choose to have another procedure.

Good candidates for otoplasty include those who are:

  • Ages 5 or older. This is the point when the auricle has reached 90 percentTrusted Source of its adult size.
  • In good overall health. Having an underlying condition can increase the risk of complications or affect healing.
  • Nonsmokers. Smoking can decrease blood flow to the area, slowing the healing process.

What’s the procedure like?

Let’s explore what exactly you can expect before, during, and after your otoplasty procedure.

Before: Consultation

Always choose a board certified plastic surgeon for otoplasty. The American Society of Plastic Surgeons has a helpful search tool to help you find a board certified plastic surgeon in your area.

Before having your procedure, you’ll need to have a consultation with your plastic surgeon. During this time, the following things will happen:

  • Medical history review. Be prepared to answer questions about medications you’re taking, past surgeries, and any current or previous medical conditions.
  • Examination. Your plastic surgeon will evaluate the shape, size, and placement of your ears. They may also take measurements or pictures.
  • Discussion. This includes talking about the procedure itself, the associated risks, and potential costs. Your plastic surgeon will also want to hear about your expectations for the procedure.
  • Questions. Don’t be afraid to ask questions if something is unclear or you feel like you need more information. It’s also recommended to ask questions about your surgeon’s qualifications and years of experience.

During: The procedure

Otoplasty is typically an outpatient procedure. It can take between 1 to 3 hours, depending on the specifics and complexity of the procedure.

Adults and older children may receive local anesthesia with a sedative during the procedure. In some cases, general anesthesia may be used. General anesthesia is typically recommended for younger children undergoing otoplasty.

The specific surgical technique that’s used will depend on the type of otoplasty you’re having. Generally speaking, otoplasty involves:

  1. Making an incision, either on the back of your ear or inside the folds of your ear.
  2. Manipulating the tissue of the ear, which can include removal of cartilage or skin, folding and shaping of cartilage with permanent stitches, or grafting of cartilage to the ear.
  3. Closing the incisions with stitches.

After: Recovery

Following your procedure, you’ll have a dressing placed over your ears. Be sure to keep your dressing clean and dry. Additionally, try to do the following while your recover:

  • Avoid touching or scratching at your ears.
  • Choose a sleeping position where you aren’t resting on your ears.
  • Wear clothing you don’t have to pull over your head, such as button-up shirts.

In some cases, you may also need to have stitches removed. Your doctor will let you know if this is necessary. Some types of stitches dissolve on their own.

Common postsurgery side effects

Common side effects during the recovery period include:

  • ears that feel sore, tender, or itchy
  • redness
  • swelling
  • bruising
  • numbness or tingling

Your dressing will stay in place for about a week. After it’s removed, you’ll need to wear an elastic headband for another 4 to 6 weeksTrusted Source. You can wear this headband at night. Your doctor will let you know when you can return to various activities.

1. You’re never too old for otoplasty

According to Doft, the ideal time for otoplasty is when a child is in kindergarten, or around the age of 5 years old. By then, the child’s ear is 85% developed and other children haven’t begun to notice physical differences that can result in teasing, which generally happens in the second and third grade of elementary school.

If parents miss that window, children often end up pursuing this procedure between the ages of 12 and 16 years old. Doft also often treats young adults entering the workforce.

2. It’s nearly painless

The surgery is always performed under general anesthesia for pediatric patients. Some candidates get away with only local anesthesia when the issue is less severe. Doft says that recovery is not that painful, and that most of her pediatric patients only need simple pain relievers like Tylenol or Motrin.

Adults often require prescription pain medication for the first few days and typically take a few days off from work.

3. Your ears will never be perfectly identical

No two ears are made exactly the same. This means that, while the goal of the surgery is to make both ears similar to each other in size and projection, the contours will always be different and that achieving perfect symmetry is impossible.

4. Full recovery takes a couple months

Different surgeons have varying protocols, but generally speaking patients can expect to wear a bandage over their ears for three to five days after surgery. After the bandages come off, they will need to wear a headband day and night for a month, and only at night for another month.

5. Permanent sutures can come undone

Otoplasty has a relatively high recurrence rate of up to 20%. If the stitches come undone, ears may protrude or require a revision to fine tune the angle. Revisions are commonly performed in the doctor’s office under local anesthesia.

6. You may want to quit contact sports

Basketball, wrestling, soccer, or any sport where you might get elbowed in the head poses the risk for undoing ear stitches. If quitting these sports isn’t an option, you’ll need to be a little more careful and wear a headband while playing.

7. Your ear surgery probably won’t be covered by insurance

“We’ve written a lot of letters to insurance, but have had no luck,” says Doft. Although many deformities requiring surgical correction are covered by insurance, most insurance companies don’t cover otoplasty. The issue being corrected by otoplasty doesn’t affect your ability to hear.

8. Ear rejuvenation is becoming a thing

As you age, ear tissue thins and can look deflated. Not only does this change age your appearance, but it can affect women’s ability to wear heavy earrings. Dermal fillers can be injected to plump up earlobes.

Another by-product of aging is that earlobes get longer. To fix droopy lobes, a plastic surgeon can excise a portion of the lobe to make it smaller, giving it a more youthful shape.

9. It’s an art

Otoplasty is considered a niche surgery, and there aren’t that many plastic surgeons that choose to specialize in ear anatomy. Although an ear, nose and throat doctor may do this procedure —  and be very good at it — it’s typically a cosmetic procedure. “You really want to go to somebody who has cosmetic training, and that’s usually a plastic surgeon,” says Doft. “It’s not hard to do an OK job, but it’s challenging to do a great job because every millimeter really matters.”

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