Home | Face Rejuvenation | Otoplasty
Otoplasty, also known as ear refinement surgery, reshapes or repositions the ears to create improved facial balance and proportion. Prominent or asymmetrical ears can draw attention away from other facial features, even when the rest of the face is well balanced.
At Aesthetic Surgery Center: Michael R. Macdonald, M.D., otoplasty in San Francisco is performed with precision and restraint — refining ear position and contour while preserving natural anatomy.
Otoplasty is a surgical procedure that reshapes or repositions the ears to reduce prominence, correct asymmetry, or refine contour. The procedure adjusts cartilage structure to create a more balanced relationship between the ears and the face.
Ear refinement can be performed for adults or older adolescents seeking improved facial harmony.
Otoplasty in San Francisco commonly addresses:
By repositioning and reshaping the ears, facial balance is enhanced without altering identity.

Ear surgery requires careful cartilage reshaping and subtle repositioning. Overcorrection can look unnatural, while under-correction may not provide meaningful improvement.
As a board-certified facial plastic surgeon in San Francisco, Dr. Macdonald approaches otoplasty with:
• Proportion-based planning
• Natural cartilage contouring
• Minimal visible scarring
• Preservation of ear anatomy
• Long-term structural stability
Patients throughout the Bay Area seek otoplasty to refine appearance with discretion and balance.
You may be a candidate for ear refinement surgery if you:
During consultation, ear anatomy, cartilage shape, and positioning are carefully evaluated to determine the most appropriate approach.
Treatments are selected based on individual skin needs.
Targets congestion, buildup, and dull skin texture.
Restores moisture balance and improves skin radiance.
Supports clearer skin through targeted cleansing and exfoliation.
Designed for ongoing skin clarity and preventative care.
Your consultation determines the most appropriate approach.

Otoplasty is typically performed under anesthesia in a controlled surgical setting. Incisions are generally placed discreetly behind the ear, minimizing visible scarring.
The procedure may involve:
The goal is refined repositioning — not flattening or over-tightening.
Most patients experience:
Final contour becomes more refined as swelling resolves over several weeks.
Otoplasty provides permanent structural improvement. Once cartilage is reshaped and secured, results are stable and long-lasting.
Cartilage reshaping requires anatomical precision. Proper planning ensures ears appear natural from all angles and maintain symmetry without appearing pinned or flattened.
Selecting an experienced San Francisco otoplasty surgeon improves both safety and aesthetic outcome.
Below are answers to common questions about ear refinement surgery.
Otoplasty is a surgical procedure that reshapes or repositions the ears to reduce prominence and improve facial balance.
Otoplasty improves protruding ears, ear asymmetry, and irregular cartilage shape to create a more balanced profile.
Good candidates are healthy adults or older adolescents with prominent or asymmetrical ears who desire permanent structural refinement.
Most patients return to light activities within about 7–10 days. Swelling improves steadily over several weeks.
Yes. Otoplasty results are permanent once cartilage is reshaped and secured in its new position.
Incisions are typically placed behind the ear, where scars are discreet and well concealed.
Most patients describe postoperative discomfort as mild and manageable with standard care.
If prominent or asymmetrical ears have affected your confidence, otoplasty offers precise, permanent structural refinement.

Let us help you achieve your aesthetic goals with confidence and ease.
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