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Lop Ear Correction with Dr. John Hilinski: Expert Ear Reconstruction in San Diego

Lop ear, also known as a constricted ear or cup ear deformity, is a congenital condition that affects the appearance of the upper helix, or the top portion of the ear. This deformity can range from mild to severe, often giving the ear a folded or compressed appearance. While many plastic surgeons offer otoplasty (ear pinning) as a solution for prominent ears, true correction of lop ear requires advanced reconstructive techniques that few surgeons specialize in.

Dr. John Hilinski, a double board-certified facial plastic surgeon, is one of the few specialists in the San Diego area who is experienced in correcting lop ear deformities. Using advanced techniques, Dr. Hilinski reshapes the ear to restore a natural and balanced appearance. His extensive experience with congenital ear anomalies ensures that each patient receives personalized treatment tailored to their specific condition.

What is Lop Ear?

Lop ear deformity occurs due to the abnormal development of the helical rim, the upper edge of the ear. The top portion of the ear folds over, giving the ear a shorter, compressed appearance. Depending on the severity of the condition, the deformity may also involve the scapha–the segment just inside the helical rim–further compressing the upper third of the ear. This results in a visibly shorter ear height, which can affect overall facial symmetry.

In cases of constricted ear deformity, the ear appears vertically shortened or collapsed, and the upper ear does not maintain its natural projection. These deformities often require reconstructive surgery to restore the ear’s natural shape and size.

Lop Ear Correction

Lop ear correction is a specialized procedure aimed at repositioning and reshaping the upper helical rim, restoring the ear’s natural height and projection. If diagnosed early, some cases of lop ear can be treated non-surgically with ear molding within the first few weeks of life. However, for older children or adults, surgical correction is typically required to achieve a successful outcome.

In severe cases, where there is a significant loss of cartilage structure, rib cartilage grafts may be needed to provide additional support and framework for the ear. This ensures the ear remains structurally sound while achieving the desired shape.

A woman holding a toddler with curly hair, both looking at a small branch with green leaves near a window.

Lop Ear Surgery Procedure

The specific technique used for lop ear correction depends on the extent of the deformity. Dr. Hilinski tailors each procedure to the patient’s unique condition, which may involve:

Cartilage Grafting

In more severe cases, cartilage may be harvested from another part of the body (such as the ribs) to provide additional support for the ear.

Tissue Rearrangement

The existing ear cartilage is carefully reshaped and reoriented to create a more natural-looking contour.

Dissolvable Sutures

The incision is closed with dissolvable sutures, minimizing scarring and promoting faster healing.

Bolster Dressing

A bolster dressing is often used initially to support the newly shaped ear and prevent fluid accumulation between the skin and cartilage.

Through careful reshaping of the abnormal cartilage, Dr. Hilinski is able to restore the ear’s height, projection, and natural appearance.

Close-up of a person's left ear against a dark background. The person has dark hair pulled back, and the ear is shown in detail.
Close-up of a person's ear with redness and possible swelling around the upper ear, resting against a dark-colored chair.
Side-by-side comparison of a person's left ear before and after a cosmetic procedure. The left image shows a more protruding ear, while the right image shows the ear closer to the head.
The image shows three side-by-side photos: two close-ups of a child's ear from different angles and a front-facing portrait of the same child.
Three-step surgical illustration of correcting a folded lop ear: side view, intraoperative view showing cartilage, and an outlined cartilage view.

Lop Ear Surgery FAQ

Lop ear deformity is a congenital condition, meaning it occurs during fetal development. It results from the abnormal formation of the helical rim, which causes the upper portion of the ear to fold or collapse.

In some cases, lop ear can be treated with nonsurgical ear molding if diagnosed in the first few weeks of life. However, once the ear cartilage hardens with age, surgical correction is typically required.

Lop ear correction surgery involves reshaping the ear cartilage to restore its natural height and projection. In more severe cases, cartilage grafts may be required to reconstruct the ear and ensure long-term stability.

The incisions for lop ear correction are typically made behind the ear, so any scarring is hidden and not visible from the front or side.

Most patients can return to normal activities within 1-2 weeks. A bolster dressing is used to support the ear during the initial healing phase, and Dr. Hilinski provides detailed aftercare instructions to ensure optimal results.

In severe cases where the ear is missing structural support, rib cartilage grafts may be needed to provide additional framework for the ear. Dr. Hilinski will assess your condition during the consultation and determine if cartilage grafts are necessary.

Lop ear correction surgery can restore the natural shape and height of the ear, improve facial symmetry, and boost self-confidence. The procedure is highly effective in treating both mild and severe cases of ear deformity.

If you have a lop ear deformity or any other congenital ear abnormality, you may be a good candidate for surgery. Dr. Hilinski will evaluate your condition during your consultation and recommend the best treatment plan based on your needs.

Smiling man with short hair wearing a blue suit and white shirt stands against a blurred indoor background.

Why Choose Dr. John Hilinski for Lop Ear Correction?

Dr. John Hilinski has extensive experience in treating complex ear deformities, including lop ear, constricted ear, and cup ear. His expertise goes beyond traditional otoplasty, allowing him to perform advanced reconstructive procedures that result in long-lasting, natural-looking outcomes. Patients in the San Diego area, and from around the world, seek Dr. Hilinski for his unparalleled skill and personalized approach to cosmetic and reconstructive ear surgery.

Meet Dr. John Hilinski

Schedule a Consultation with Dr. Hilinski

If you or your child has a lop ear deformity and would like to learn more about surgical correction options, schedule a consultation with Dr. John Hilinski, San Diego’s expert in ear reconstruction. With his advanced techniques and personalized approach, Dr. Hilinski can help you achieve natural, balanced ear aesthetics that enhance your overall appearance. Contact our office today to begin your journey toward a more confident look.

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