otoplasty in NYC

Restoring Confidence Through Ear Plastic Surgery 

Procedure Match Tool
Dr. Pearlman taking patient pictures for rhinoplasty

Welcome to Pearlman Aesthetic Surgery for otoplasty in NYC on Park Avenue.

Otoplasty in NYC, also called “ear pinning,” is a solution for patients who are bothered by the size and shape of their ears. Our practice offers otoplasty for children and adults.  Dr. Pearlman views otoplasty as a reconstructive procedure rather than a simple cosmetic procedure. After all, otoplasty is a reconstructive procedure that treats an inborn deformity, similar to braces for misaligned teeth.

A Reconstructive Approach

People with “normal” ears have the privilege of not having to think of them. They go through their lives with one less thing to worry about. But people with ears that are too large, or stick out, or fold over may be self-conscious of their ears on a daily basis.

This is especially problematic for children since they’re more susceptible to self-consciousness over perceived deformities, especially in the face of teasing from peers. As such, “different” ears may eventually be the root cause of lifelong social anxieties and self-esteem issues. Fortunately, ear correction through otoplasty in NYC from Dr. Pearlman is one of the few plastic surgeries available for children as young as 6 to 7 years old.

Understanding Otoplasty / Ear Surgery

Otoplasty is a surgical procedure that treats protruding ears. Dr. Pearlman curates a personalized otoplasty treatment plan to address the two primary issues related to protruding ears:

First Issue: Conchal bowl, i.e., an excessively deep cup of the ear. Dr. Pearlman may remove the small ovals of cartilage or add sutures to minimize the depth of the conchal bowl.

Second Issue: Lack of formation of the ‘antihelical fold.’ Patients may lack the upper fold of the “Y” near the upper part of the ear. Dr. Pearlman administers Mustardé sutures to create or deepen the antihelical folds.

Dr. Pearlman's otoplasty in NYC treats:

Protruding ears through ear pinning

Constricted ears, i.e., excessively small or cupped ears

Treatment Details

Treatment Duration:

2.5 hours


1 week

Dr. Pearlman looking at patient's nose with headset during rhinoplasty consultation
Consultation With Dr. Pearlman

How it Works




You will meet with Dr. Pearlman for an otoplasty consultation at our office on Park Avenue in Manhattan. Dr. Pearlman will listen to your concerns and desired results from this procedure.

He will then examine the ears, explain potential options for the results that will best suit you or your child, and answer any questions you may have.

It’s important to note otoplasty can only be performed once the ears have reached their full size, typically after age 5 or 6. 

Dr. Pearlman can operate on one or both ears. Typically, otoplasty is done on both ears to ensure symmetry. There may be special cases, such as with an injury, where only one ear is affected.

Otoplasty is an outpatient procedure. For children, we place the patient under general anesthesia. Adults may elect to have this procedure under local anesthesia with some oral sedation.

The otoplasty process lasts for 2.5 hours.

Dr. Pearlman will make the incisions on the back of you ear only  to avoid visible scarring. Then, he will remove excess skin and cartilage, fold the cartilage into the desired position, and “pin” it with internal stitches.

It’s likely that you’ll have drains placed to help with healing.



Our staff will provide thorough post-surgery guidelines for you or your child’s otoplasty. 

Any drains that were placed will be removed 1 to 2 days after surgery. You’ll be in bandages for about 4 days. Pain is typically mild and easily managed with Tylenol or Advil. We prescribe stronger pain killers just in case. 

Recovery time takes about 1 week, so the patient will need adequate time off school or work to heal. Bruising may persist for up to 2 weeks.

You’ll need to wear a headband as instructed to hold the ears in place while healing for the first 1 to 2 weeks. It’s most important that you sleep with it, which Dr. Pearlman typically recommends for 1 month.

Impactful Results

Whether your otoplasty is aimed at ear pinning protruding ears or another aesthetic concern, an otoplasty in NYC from Dr. Pearlman will restore confidence in the appearance of your or your child’s ears.

 It’s rewarding to watch a child’s face as we remove the dressings and they see their new ears.

The results from otoplasty are permanent.

Ear pinning can improve confidence, self-esteem, and well-being.

There’s no visible scarring.

Before and After

patient before and after otoplasty
Before After
patient before and after otoplasty
patient before and after otoplasty
Before After
patient before and after otoplasty
Before After
patient before and after otoplasty
Before After
patient before and after otoplasty
Before After
patient before and after otoplasty
patient before and after otoplasty
patient before and after otoplasty
patient before and after otoplasty
patient before and after otoplasty
Before After
patient before and after otoplasty
Before After
patient before and after otoplasty
Before After
patient before and after otoplasty
patient before and after otoplasty
patient before and after otoplasty

Frequently Asked Questions


Do you treat other ear-related cosmetic issues?

Otoplasty treats protruding ears, but not other ear-related cosmetic issues, such as lop ears, microtia, and split earlobes. The following is an overview of how we treat all these other cosmetic concerns.

  • Lop Ears: Lop ear is a deformity that causes the tops of the ears to abnormally fold over before birth. Since a child’s ear cartilages are soft and moldable, they can be treated with earmolds placed on the child’s ear at a young age. Surgeries might not be necessary if used within the first few weeks of life.
  • Microtia: Microtia is a condition in which a child has poorly-formed or an unformed pair of ears. The cosmetic doctor rebuilds the ears using synthetic implants or the child’s own ribs. Treating microtia necessitates a series of surgical procedures, but parents are always happy with the results, especially since it’s a lifelong treatment.
  • Split Earlobes: Do you have split earlobes or enlarged earring holes because of earrings that have pulled through? Split earlobes and enlarged earring holes can be treated with outpatient surgical procedures that conclude within 20 minutes. You can get your ears pierced again within 6 weeks. Learn more
  • Repair of gauge earlobe holes: Sometimes patients make choices that they regret later in life, such as ear gauges. These enlarged holes can be closed with earlobe reconstructive techniques.

Does otoplasty affect hearing?

Otoplasty will not affect hearing.

How do I know if my child is ready for otoplasty?

Deciding whether to go ahead with a cosmetic procedure for your child isn’t easy. You should carefully consider the treatment’s necessity by asking yourself (and your child) the following questions:

  • Are they being significantly teased or bullied for their appearance?
  • Is the constant teasing and bullying affecting their personality and mental health?
  • Is there a chance that they’ll develop self-esteem issues because of the teasing?
  • Do they like the idea of having “normal” ears?

During your consultation for otoplasty New York City, Dr. Pearlman will simulate the results of otoplasty with computer imaging. You can then share those computer images with your child to gauge their reaction. If their face lights up in response to the images, well, that’s all the confirmation you need that you’re in the right direction.

Is otoplasty safe for kids?

Otoplasty is an incredibly safe procedure for kids and adults with a very high success rate. Otoplasty for children is conducted under general anesthesia, and otoplasty for adults is conducted under local anesthesia with sedation.

What is the best age for otoplasty?

Otoplasty is a suitable cosmetic procedure for children as young as 6 years of age. By the time children are 6 years old, their ears are already at least 90% of the adult size.

Since children start socializing more actively at this age, they’re more likely to experience bullying or teasing because of their “different” ears. 6-year-old children are also more capable of participating in decisions regarding their ear surgery, and it’s important to have an open discussion about their options. However, otoplasty in NYC isn’t necessary or advisable if your children aren’t bothered by their ears.


Real Patient Ratings

Real Patient Ratings

Dr. Pearlman sitting in chair by flowers

Persistent in the Pursuit of Perfection

For decades, Dr. Pearlman has been persistent in his search for perfection as a top facial surgeon in New York. He brings evolution, experience, expertise, and uniqueness to his patients in our Park Avenue office. The goal of Pearlman Aesthetic Surgery is to help patients to actualize their ideal self-image for the highest level of personal authenticity and attractiveness possible. Dr. Pearlman couples an attentive bedside manner and genuine concern for his patients’ welfare to deliver the best otoplasty results.

Our Approach

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Get Started

Designed by our aesthetic and surgical specialists, our procedure match tool will help you learn more about the possibilities for your otoplasty in NYC with Dr. Pearlman.

110 E 60th ST #908 NEW YORK, NY 10022



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