What is an Otoplasty?

Our Toronto ear surgery, or ear pinning, is the surgical reshaping of ears, usually to decrease their prominence. In Ontario, for patients under the age of 18, this procedure is covered by OHIP. This requires a referral to Dr. Brace from your family doctor. 

For those over the age of 18, otoplasty can still be performed, however, the cost of the procedure falls to the patient. There are incision-less techniques and surgical techniques to re-shape the natural folds in the ear and to pin the ears back.

Who is a candidate for otoplasty?

Dr. Brace performs otoplasty on both children and adults. The optimal age to seek otoplasty for a child is around the time they start school at 4-6 years of age. At this point the ear has achieved adult size. Surgery is not recommended before this time. Men and women who feel that their ears stand out in a prominent way are also candidates for this surgery. Prominent ears are often a genetic trait.

What is a lobuloplasty?

A lobuloplasty is the reshaping of the ear lobe usually to correct a sagging elongated appearance.

Who is a candidate for lobuloplasty?

Men and women seek lobuloplasty for different reasons. For most women seeking lobuloplasty, the ear lobe has been stretched from years of wearing heavy earrings. Men seeking lobuloplasty dislike the shape of their ear lobe and are seeking to create a smaller ear lobe that has a minimal hanging component.

What is a gauge ear repair?

A gauge ear is an ear piercing that has been stretched to accommodate spacers. A gauge ear repair is a restorative procedure to recreate a natural appearing ear lobe. The ear can be re-pierced after it has healed to accommodate standard earrings.

What is a slot ear repair?

A slot ear is an earlobe deformity caused by an earring that has partially torn a piercing towards the edge of the earlobe but not through it. Slot ear deformities make it difficult or impossible to wear earrings that use a post and backing as the earring will fall through the stretched piercing. It is possible to re-pierce the ear after a slot ear repair.

What is a lacerated ear lobe repair?

When an earring pulls through the edge of the ear lobe splitting the ear lobe from the piercing downward it is referred to as a lacerated ear lobe. This can be repaired and the ear re-pierced to accommodate earrings again.

Ear reshaping by Dr. Brace

As an accomplished double board certified facial plastic and reconstructive surgeon, Dr. Brace brings his mastery of ear reshaping and reconstructive surgery to Guelph. His practice is restricted solely to procedures of the face. He uses his talents to not only provide cosmetic services but also trauma reconstruction and cancer reconstruction of ears. He has extensive surgical experience refining and restoring the beauty and functionality of ears. His work can be seen on local business owners, television personalities and in Hollywood movies on a number of Canadian child actors. He is trusted for his attention to detail and commitment to perfection with natural appearing results. 


A consultation with Dr. Brace will help him understand your desired ear shape, position and overall aesthetic concern in the context of your facial balance. He will also examine and diagnose the underlying anatomical causes for your cosmetic concerns. Dr. Brace will take photographs of your ears to document their current state and will discuss a treatment plan to accomplish the best otoplasty, reshaping, or repair result. 

Ear Surgery

For older children and adults ear reshaping and restorative surgery is done under local anesthetic as an in-office procedure. The advantage of this is full input from family and the patient on final position and shape of the ear. Younger children usually will not tolerate local anesthetic procedures and require general anesthesia in a hospital setting. The procedure takes 30-60 minutes per ear. Permanent sutures are used to bend and sculpt the ear cartilage. These are placed through a small hidden incision behind the ear. Dissolvable skin sutures are used and a dressing is placed around the ears for the first night. An athletic headband is then worn to keep the ears tucked in for the first 4 weeks as the skin and cartilage heal. 

For lobuloplasty, gauge ear, slot ear, and lacerated ear repairs, the ear lobe is anesthetized and the ear is repaired. Tiny sutures are used to close the skin. Antibiotics and pain medication are provided. A dressing is applied to the incision line. If you wish to learn more, contact our office today and schedule a consultation for arguably the best otoplasty Toronto has to offer.

Before & After

Recovery of Ear Surgery

Day 0 home with ears bandaged or dressed. Some aching in the ears develops after the local anesthetic wears off. Antibiotics are started.

Day 1 bandages removed. Bruising and swelling is evident in the ear and along any re-created folds. Athletic headband is worn for otoplasty patients. Incision care is started according to instructions.

Day 2-6 swelling peaks. Pain medication, antibiotics and ice are used to minimize swelling. Incisions are cleaned and dressed. Athletic headband in place if required.

Day 6/7 Follow-up with Dr. Brace for assessment of healing and removal of sutures. 

1 month Dissolving skin sutures removed if still present. Assessment of ear shape. Swelling is greatly reduced but still present. Pulse dye laser treatment of incisions if necessary.

3 months Swelling resolved. Ear shape assessed. Incisions inspected. Photos taken. Pulse dye laser treatment to incisions if required.

6 months Final ear shape achieved with scar tissue supporting new form. Incisions inspected for proper healing. Pulse dye laser treatments as necessary.

1 year scars fully matured. Final photos taken. Discussion of any potential revisions.

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690 Woolwich St. #2
Guelph, Ontario, N1H 3Z1

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Practice Policy Update Regarding COVID-19

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Practice Policy Update Regarding COVID-19

Dear Patients,

All in-office treatments, procedures, and appointments have resumed. At Guelph Facial Plastics we are committed to protecting the safety of our patients, staff, and the general public while maintaining our high standard of quality care. As a result of the ongoing COVID-19 pandemic, we have made the following changes to our patient care practices in accordance with all provincial and Public Health recommendations:

  • We will be pre-screening all patients that are scheduled to come into our office. We will ask patients to stay home with symptoms of COVID-19, chronic lung disease, severe asthma, serious heart conditions, and uncontrolled type 1 diabetes.
  • The timing of patient visits has been adjusted in order to limit the number of people in the office at a given time and to allow for enhanced disinfecting and cleaning protocols we have put in place in between patients. We have also enhanced the air filtration quality in our space to provide patients with surgically clean air.
  • You must call from your vehicle upon arrival before entering the clinic. We request that patients come on their own to all appointments unless absolutely necessary. For your safety, all of our staff will be wearing masks when interacting with patients in the office and routine hand-washing is required.
  • We request that you wear a mask. Hand sanitation stations will be available upon entering and throughout the office.
  • We are pleased to continue to offer virtual visits as an option for non-urgent appointments.
  • Cosmetic surgery has not resumed at Guelph General Hospital, however, we are pleased to offer our patients the option of undergoing surgery at a Clinic 360 - a fully-equipped private surgical center.

We look forward to continuing to help our patients look and feel their best! We encourage you to reach out to our office now to schedule your appointment.

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Contact Us (226) 702-8830