Otoplasty for prominent or congenital ears

Why even do it?

  • 1st Problem: Bullying

    • While resilience is an admirable trait, enduring bullying should not be seen as a necessary trial. Mental health matters—if surgery can prevent years of self-consciousness or social anxiety, it is a legitimate choice. Choosing otoplasty is not about seeking approval—it's about reclaiming control over how one is perceived and treated. While bullying is morally unacceptable, it remains a harsh reality for many children.

  • 2nd Problem: Cosmetic reasons

    • Prominent or Protruding Ears – Ears that stick out significantly.

    • Asymmetrical Ears – One ear may be positioned differently than the other.

    • Disproportionate Ear Size – Ears that appear too large or too small in relation to facial features.

    • Misshapen Ears (Congenital or Trauma-Related) – Microtia, Stahl’s Ear, Cryptotia, Cup ears

When can I do it?

The only pediatric cosmetic surgery that can typically be performed starting 7 years old (under general anesthesia), when the ear is nearly fully developed, as a preemptive treatment for school bullying. It can also be done around 11 or 12 years old under local anesthesia when the child is more cooperative.

Ethical conundrum?

  • A fundamental aspect of self-determination is the right to embrace or reject one’s natural appearance. The child is not old enough to make a fully informed decision about altering their body.

  • Parental early intervention can prevent the long-term psychological effects of bullying, as young children may not fully grasp its lasting impact. If parents have the ability to prevent suffering, some argue they have a moral obligation to do so, as inaction may also be a choice that leads to emotional harm.

  • However, a balanced approach taking the ethical middle ground involves considering the child’s perspective—if they express distress and a desire for surgery, including them in the decision respects their developing autonomy while still safeguarding their well-being.