Otoplasty (Ear Surgery) in Madrid, Marbella & Gibraltar | Dr. Marco Vricella

Otoplasty in Madrid, Marbella & Gibraltar — Dr. Marco Vricella, Plastic Surgeon

Dr. Marco Vricella, otoplasty specialist in Madrid

Otoplasty
ear surgery

Otoplasty corrects prominent or protruding ears by reshaping the cartilage through small hidden incisions. Natural, permanent results in harmony with the rest of the face — available from age 8.

Facial Surgery · Madrid

Harmonious ears,
renewed confidence

+20
Years of experience
1–2 h
Procedure duration
3
Clinics available
8+
Minimum age

Otoplasty, also known as ear surgery, is the gold-standard procedure for correcting prominent or protruding ears — one of the most common aesthetic concerns in both adults and adolescents. Through a precise, minimally invasive technique, Dr. Vricella modifies the shape, position and proportion of the auricle, achieving a more harmonious result that looks entirely natural alongside the rest of the face.

It is one of the few cosmetic procedures that can be performed on children, from age 8, once auricular cartilage development is complete and the procedure does not interfere with growth. This is particularly significant, as prominent ears can generate considerable self-consciousness during childhood and adolescence — affecting confidence and social life at a sensitive stage of development.

Otoplasty goes beyond aesthetics: it removes a source of insecurity that in many cases dictates hairstyle choices, clothing and everyday confidence. The result is permanent, discreet and, in the vast majority of cases, deeply meaningful on a personal level.

Meet the Doctor
Procedure variants

The right
technique for you

The choice of technique depends on the type of auricular deformity, the patient’s age and the degree of correction required. Dr. Vricella assesses each case during the consultation and determines the most appropriate approach.

Standard Otoplasty

The primary technique for correcting prominent ears. Through a small incision behind the ear, the cartilage is reshaped using permanent sutures and the depth of the auricular concha is reduced. Scars remain completely hidden in the retroauricular fold.

Prominent ears

Reduction Otoplasty

Indicated when the overall size of the auricle or earlobe is disproportionately large. Cartilage repositioning is combined with controlled tissue removal to achieve a proportionate ear size and a natural-looking result.

Macrotia / oversized ears

Earlobe Correction

Addresses isolated earlobe deformities: torn or stretched lobes from heavy earrings, enlarged or asymmetric lobes. A very quick procedure under local anaesthesia, with excellent healing and immediate return to normal activities.

Torn / asymmetric earlobe
Personalised consultation with Dr. Marco Vricella — otoplasty Madrid

Benefits

Discreet correction,
profound change

Otoplasty is one of the procedures with the greatest positive impact on a patient’s self-perception relative to its technical complexity. A subtle structural change — just a few millimetres in cartilage position — completely transforms the harmony of the face and the patient’s day-to-day confidence.

  • Permanent correction of prominent or protruding ears
  • Scars hidden at the back of the ear — virtually invisible
  • Symmetrical, proportionate results in harmony with the face
  • Available from age 8 — prevents self-consciousness in childhood
  • Fast recovery: normal activities resumed within days
  • No restrictions on hairstyle, clothing or activities after recovery
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The procedure

Posterior incision,
invisible result

The procedure is performed under local anaesthesia with sedation — or general anaesthesia for younger patients — as day surgery. Dr. Vricella accesses the cartilage through a small incision at the back of the auricle, reshapes it using permanent suture techniques and reduces the depth of the auricular concha to the ideal position. The incision is perfectly hidden within the retroauricular fold.

  • Local anaesthesia with sedation; day-surgery procedure
  • Duration: 1–2 hours depending on case complexity
  • Compression bandage removed after 24 hours
  • Protective headband worn day and night for 4 weeks
  • Normal activities resumed within a few days
  • Definitive and permanent results
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Otoplasty result — Dr. Marco Vricella
Are you a candidate?

Otoplasty
is right for you if…

Ideal profile for the procedure

  • Prominent or protruding ears that cause self-consciousness or dissatisfaction
  • Notable asymmetry between both ears
  • Torn, stretched or deformed earlobes from earring use
  • Children aged 8 and over with complete auricular development
  • Adults of any age in good general health
  • Realistic expectations: harmony and naturalness, not geometric perfection

Situations requiring additional assessment

  • Children under 8 with auricular cartilage still developing
  • Active infections in the area to be treated
  • Coagulation disorders or anticoagulant medication that cannot be suspended
  • Uncontrolled systemic conditions
  • Expectation of correcting complex congenital deformities (microtia)
  • Active smoking without willingness to stop before surgery
The process

Your journey to
the ideal result

01 — Consultation

Personalised assessment

Dr. Vricella analyses the morphology of the ears, the degree of prominence and the symmetry between them. He determines the most appropriate technique and explains the expected result with complete clarity, answering all questions without pressure.

02 — Planning

Precise surgical design

The final ear position, the type of cartilage to be reshaped and the suture technique are planned in detail. You will receive detailed pre-operative instructions — what to avoid, how to prepare and what to expect on the day of surgery.

03 — Surgery

Day-surgery procedure

The procedure is performed as day surgery at one of our clinics in Madrid, Marbella or Gibraltar. Under local anaesthesia with sedation, it takes 1 to 2 hours and the patient goes home the same day.

04 — Recovery

Close follow-up

The compression bandage is removed after 24 hours and a protective headband is prescribed for 4 weeks. Dr. Vricella’s team carries out scheduled check-ups until optimal healing and the definitive result are confirmed.

Frequently asked questions

Everything you need
to know

We answer the most common questions about otoplasty. If you have further questions, we are happy to address them during your consultation.

The procedure is performed through a small incision at the back of the auricle. Through it, Dr. Vricella accesses the cartilage, reshapes it using permanent sutures and, where necessary, reduces the depth of the auricular concha. The scars are hidden in the retroauricular fold and the procedure lasts 1 to 2 hours.
In adults and older adolescents, otoplasty is typically performed under local anaesthesia with sedation, ensuring a comfortable experience without the need for an overnight stay. For younger patients or those who prefer to be fully asleep, general anaesthesia is also an option. The anaesthetist will advise on the safest choice for each case.
Otoplasty can be performed from the age of 8, once auricular cartilage development is complete and the procedure does not interfere with growth. Operating at this stage is particularly beneficial, as it prevents prominent ears from negatively affecting self-esteem during the most sensitive school years.
After surgery a compression bandage is applied and removed after 24 hours. This is followed by wearing a light headband day and night for the following 4 weeks. Most patients resume normal activities within a few days. From the second week they can gradually reintroduce moderate physical exercise.
Post-operative discomfort is mild to moderate and easily managed with standard pain relievers. Patients typically experience a slight sense of tension, warmth and sensitivity in the ears for the first few days. Swelling is minimal and subsides quickly without significantly affecting daily life.
Low-impact activities can be resumed from the second week. Moderate exercise is reintroduced progressively from the first month. Contact sports or activities with a risk of blows to the head must be avoided for at least 6–8 weeks. The ears should be protected from sun exposure for the first 3 months.
No. The incision is made at the back of the ear, a naturally hidden area. Over time — particularly from 3 to 6 months onwards — the scars mature and become virtually imperceptible, even with the hair up. They are not visible from the front or in profile under any normal circumstances.
Yes. Otoplasty results are permanent. Once the cartilage has healed in its new position — a process that completes within a few weeks — the ears maintain their corrected shape and position stably and definitively. No recurrence or significant changes occur over time.
Contact

Discuss your case
with Dr. Vricella

Book your personalised consultation in Madrid, Marbella or Gibraltar. Dr. Vricella will assess your ears, recommend the most suitable technique and answer all your questions with complete clarity and without pressure.

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Dr. Marco Vricella
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