What is an Otoplasty?

Otoplasty or also known as ear surgery, is a procedure to change the shape, position, and size of the ears. So, if you have unusually projected ears in front or irregularly you are a good candidate for surgery. During otoplasty Dr. Rodolfo Castillo rearranges the cartilage to reduce the angle with respect to the head.

The otoplasty procedure helps correct defects in the structure of the ear that are present at birth and become more visible with development or it treats disfigured ears caused by accident and injury.

The outcome of otoplasty surgery can vary greatly depending on the desired change. If the ears stick out, ear pinning can be performed to flatten the ears. If one ear is positioned higher than the other, ear re-positioning can create symmetry.

Before and During the Procedure

Before undergoing Otoplasty, you will have a consultation with Dr. Rodolfo Castillo board-certified plastic surgeon. He will discuss your Medical History, so prepare to answer questions about past and current medical conditions, previous surgeries, especially any ear infections.

During surgery, Dr. Rodolfo Castillo will make small incisions made on the back surface of the ear. In some cases, the doctor will perform small incisions on front of the ear, within its folds to hide them.

To correct protruding ears, Dr. Rodolfo Castillo creates an incision in the crease behind the ear, then uses permanent sutures to keep the ears more inclined towards the head. In each case, Dr. Rodolfo Castillo creates meticulous incisions that will result in almost undetectable scars.

The results can be noticed immediately and is usually permanent. After the procedure you can enjoy a better appearance, which will give you more confidence.

After the Procedure and Recovering

Typically otoplasty results in minimal discomfort and Dr. Rodolfo Castillo can prescribe medication to calm any type of pain. It is recommended to use a band around the head that covers the ears and holds them in place, which will help recovery and avoid getting hurt.

This band is especially important in children as it will prevent them from touching their ears and run the risk that the sutures will come off causing the cartilage to return to the previous state. You have to sleep with extra pillows to keep your head elevated and avoid arduous physical activity for at least 15 days.


You’ll likely feel some discomfort and itching. Dr. Rodolfo Castillo will recommend you to:

  • Take pain medication
  • Keep pressure off your ears
  • Avoid sleeping on your side
  • Try not to rub or place excessive force on the incisions
  • Consider wearing button-down shirts or shirts with loose fitting collars
  • Strenuous exercise should be avoided for three to six weeks following the procedure¬†Bichat / Buccal Fat Removal

What is a buccal fat removal?

Bichat surgery or buccal fat removal, eliminates well defined pockets of fat on the cheeks to improve facial contour. By reducing the smooth and round appearance caused by fatty tissue, the cheekbones can be further defined with respect to the cheeks.

Fat pads that extend below the cheekbones may be larger than normal, resulting in a round facial appearance. Men and women with increased volume in their cheeks, can benefit from the removal of fat from the cheeks. This procedure has a number of advantages, such as:

  • Contour improvement in the cheek area
  • Create a more aesthetic look
  • General balance of facial features
  • Provide a more mature look
  • Increase of self-esteem
  • Fast recovery without scars and little downtime
  • The removal of oral fat has no visible scars and very little downtime, quickly helping you achieve a facial structure that is narrower and better defined.

Before and During the Procedure

Before undergoing Buccal Fat Removal, you will have a consultation with Dr. Rodolfo Castillo board-certified plastic surgeon. He will discuss your Medical History, so prepare to answer questions about past and current medical conditions, previous surgeries, especially any buccal infections.

Bichat surgery is a relatively quick and simple procedure in the hands of an experienced plastic surgeon like Dr. Castillo. It involves making a small incision inside the mouth through which unwanted fat is removed. This fat deposit has a minimal connection with the adjacent anatomical structures which facilitates its extraction.

Another advantage of this surgery is that because the incision is intra-oral, there is absolutely no visible scar. The sutures are absorbable, which means you won’t have to go back to a clinic to have them removed.

Your procedure can be performed with oral sedation or general anesthesia. Dr. Rodolfo Castillo works closely with an anesthesiologist, who can determine the best sedation method for your comfort and safety.

After the Procedure and Recovering

Within a day or two of the surgery, you should be able to return to your normal daily activities, such as work or housework. You should expect to have a swelling in the treatment area that is noticed throughout the first week. In the second week, there should be a noticeable reduction in inflammation. About two months after the operation, the inflammation should have decreased significantly, beginning to reveal the benefits of the procedure.

Dr. Rodolfo Castillo will maintain a continuous relationship with his patients, monitoring their progress for 12 to 18 months after the initial procedure to optimize recovery and results.


Following your buccal fat removal surgery, Dr. Rodolfo Castillo will recommend you to:

  • Stay on a liquid diet for two weeks
  • Avoid eating spicy food, hot food, high fat food, and alcohol during the first week after surgery
  • Gargle with a mouthwash or clean water after each meal to prevent food scraps from clinging to the sutures
  • Apply a cold compression on both cheeks and keep ice in the mouth during the first 2 days after surgery.
  • Take medications as prescribed.