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Prominent ears

Prominent ears are ears that stick out farther than normal from the head. Also called protruding ears, this condition is very common. Usually, it affects both ears, called bilateral prominent ears.

Prominent ears are not typically part of any genetic diseases, but the trait is often passed down in families. Researchers don’t know the exact cause for prominent ears. They do not correct on their own.

Prominent ears do not affect hearing, but over time the condition can affect how children feel about their appearance. Prominent ears have been associated with problems, such as bullying, in social settings, too.

Fortunately, studies show correcting prominent ears helps with both the child’s appearance and quality of life.

Otoplasty is surgery to correct prominent ears

Otoplasty (OH tuh plas tee) is surgery to change the shape or position of the ears. This is the general name of the type of surgery for fixing prominent ears. Some people call it ear pinning surgery.

There are numerous otoplasty methods for correcting prominent ears. The goal of all the techniques is to move the ear closer to the head in a way that looks natural and in harmony with the child’s overall facial shape.

Ideally, children should be between 4 and 7 years old for ear surgery. That age is typically before trouble in social settings begins, and problems with self-esteem are not an issue. Also, by that age the ear has reached around 85% of its adult size, so surgical changes to the ear will still look good as the child continues to grow. Children of that age are also better able to follow instructions from the doctor before and after surgery.

During an otoplasty, surgeons make an incision into the skin behind the ear and reshape the ear’s cartilage. The new shape is held together with stitches, and then the skin is stitched back together.

After surgery, your pediatric plastic surgeon will tell you how to take care of your child’s ears. The doctor will want to see your child for an office visit after surgery to make sure everything is healing as it should.

Sometimes, if the ear starts to stick out again, another surgery may be needed.

It’s important to work with a pediatric plastic surgeon with expertise in ear surgeries. There are many different types of surgery, and a skilled surgeon will be able to determine which approach is most likely to give your child the best result. Pediatric plastic surgeons at Children’s of Mississippi are experts in understanding the structures of the ear and the best way to correct all kinds of ear deformities. They can talk to you about your child’s specific situation and help you understand what options you should consider.

Can prominent ears be fixed without surgery?

There are nonsurgical treatments for some types of unusual or abnormal ear shapes that sometimes help. This usually involves placing a type of mold on the baby’s ear to hold it in the correct position. To be effective, this ear molding technique should be started within the first week of the baby’s life when the ear is still very flexible. The mold is then used for at least two months.

However, in studies, this method doesn’t always help prominent ears. In fact, some studies say it usually doesn’t work well at all, and surgery is still needed.

Does insurance pay for otoplasty?

Because a child’s hearing is not affected by prominent ears, otoplasty is usually considered to be cosmetic surgery that is not covered by insurance.

Get help at Children’s of Mississippi

If you have concerns about the shape or position of your child’s ears, the pediatric plastic surgeons at Children’s of Mississippi can help. They have great experience in all kinds of surgical techniques and can answer your questions and help you understand what types of surgery are recommended for your child. Schedule a consultation online.

Last reviewed 11/7/2025.