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Prominent Ear Correction Using the Earfold Device

The Earfold is a device that helps correct prominent ears also known as big ears, bat ears, or sticky out ears.  It is a revolutionary technique that is quick and effective when compared to traditional pinnaplasty procedures.

Prominent ears, commonly known as bat ears, arise when there is failure of the anti helical fold to develop.  The anti-helical fold is the natural fold of the ear that is flat in patients with bat ears.  The aim of surgery is to recreate this fold and bend the sticking out part of ear backwards.

Duration30-45 Minutes
Hospital stayDaycase
Costsfrom £3500
Return to work1-2 Days
LocationWilmslow, Birmingham, London
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Frequently Asked Questions

How is the Earfold performed?

Earfold is performed under local anaesthesia and takes about 30 minutes.  Mr Nassab will begin with demonstrating your result using the Prefold device.  This will give you an idea of what your ear will look like when the device is inserted.  The desired position of the implant is marked.  A few injections of anaesthetic are given to numb the area of the ear.  A small incision is made on the front of the ear near the markings.  A space is created for the device to be placed just under the skin directly onto the ear cartilage.  The Earfold is released and instantly the cartilage folds to create the antihelical fold which is often not present in patients with prominent ears.  The incision are stitched closed and the procedure complete.

What will it be like after the procedure?

There will be some bruising and swelling immediately after the procedure.  There will be a small dressing covering the incision.  Unlike traditional surgery there is no need for a bulky head dressing afterwards.  The stitches used will normally fall out after about 2 weeks.

What are the potential complications after Earfold?

There will often be some bruising and swelling following the procedure.  This will normally resolve by about 2 weeks.  The scar will be on the front of the ear and this may be visible although with time it will fade.  Sometimes scars can become hypertrophic or keloid.  Most people will have some degree of asymmetry before the procedure and this will remain afterwards.  Less common complications include: visibility of the clips under the skin; residual prominence that may require additional clips; extrusion of the device; skin necrosis; irregularities; cauliflower ear deformity; haematoma.

What should I expect after the procedure?

The procedure is performed under local anaesthetic and so the ears will remain numb for a few hours afterwards. Once this wears off you will expect some mild pain and discomfort. This is usually controlled with simple painkillers such as paracetamol.

The ears will have tape dressings covering them for the first week after the procedure. These can normally be removed after a week. There will be stitches in place and these are usually removed at 2 weeks. At this point the wounds are usually fully healed.

You can expect some bruising and swelling after the procedure. These usually last from 2-4 weeks but may be longer in some patients. In in the initial few weeks the ears may be slightly more sensitive.

What can I do and not do after the procedure?

You should wear a headband for the first 6 weeks following your procedure at night. This will protect the ears during sleep. You should also sleep on your back for the first 4 weeks. In the first 2-3 days we also recommend sleep with 2-3 pillows under your head to keep the head up to reduce bleeding and swelling.

When can I exercise after the Earfold?

We normally recommend avoiding strenuous exercise for the first 4 weeks. You can resume normal activities such as working or normal walking immediately afterwards. Contact sports should be avoided for the first 6 weeks.

Can I smoke before and after the Earfold procedure?

We would recommend avoiding smoking for 4 weeks before and after the procedure. This includes all nicotine replacement such as patches, gum and e-cigarettes. The nicotine reduces the blood supply to the ear and this can result in increased risks of complications. This includes skin necrosis, which is the breakdown of the skin over the implant that will then leave the implant exposed and require removal of the clip.

Is the Earfold detected by metal detectors?

This is the most common question we are asked by patients having the procedure. The Earfold should not set off airport metal detectors.  It is composed of metals that do not normally trigger the alarm.

Can you see the Earfold under the skin?

The Earfold clips are placed directly under the skin on the front of ear.  The skin of the ear in some patients is thin and so the implants may be visible.  The gold plating should make the clips less visible when in place.

Do the Earfolds remain in permanently?

The Earfold clips are designed to remain in place permanently.  They can be removed if desired in the future but the ear prominence may recur.

Can I have Earfold if I have previously had pinnaplasty?

Some patients that have had pinnaplasty or otoplasty previously may have recurrence of their prominent ears.  The Earfold may be used in such patients that have previously had ear surgery.

How much does Earfold cost?

The cost of Earfold will depend on the number of clips used and where it is performed.  Most patients will require 1 clip in each ear and so 2 clips in total.  The price for 2 clips starts from £3500.

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    Had earfold done, really happy with the outcome, would recommend Dr Nassab answered all my questions honestly an ressasured me, so glad I had it done


    I had the earfold procedure which is an alternative to the more invasive ear pinning operation. Dc Nassab explained the procedure well and I was happy to go ahead. The actual surgery last approx. 30 mins and although uncomfortable at times it was no more than having a filling at the dentist. Felt assured and relaxed during the procedure and I am over the moon with the results. Thank you!


    I had a wonderful experience with Dr Reza starting from the consultation to the actual surgery. He made me feel really comfortable by explaining all the pros and cons of the procedure and what would be the best option for me. I haven't had any issues since the procedure and I'm glad I had it done as I feel more confident and happy with myself.. I definitely will be recommending this to anyone who needs it.


    Booked a consultation with Mr Reza Nassab plastic surgeon , he recognised my problem & reassured me he could well improve them. After a few weeks I went for my procedure Mr Nassab started work on me I chatted away he made me feel very comfortable, gave me local anaesthetic it was all done within the hour , a couple of stitches after , antiboitics I was on my way home , very happy with the work .I feel much more confident then ever before.


    Amazing Experience! Lovely Staff and brilliant communication! Over the moon with the results and they will only get better. Would recommend to anyone who has been bothered by their ears. Simple procedure....amazing aftercare and lovely people!