Treatment face
CO2 Laser Resurfacing
- Natural, long-lasting results that enhance facial harmony
- Boost confidence
- Alter size, shape or position of the ears
- Address prominent ears, asymmetry or irregularities
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Ear reshaping surgery, also known as otoplasty, is a procedure designed to alter the shape, position or proportion of the ears by reshaping or repositioning the underlying cartilage. It can be performed in both adults and children and is commonly used to address concerns such as prominent ears or asymmetry.
At Paul Wilson Aesthetics, otoplasty is performed by Mr Paul Wilson, a surgeon with extensive experience in facial aesthetic surgery. He combines advanced techniques with a considered aesthetic eye to develop a personalised treatment plan tailored to each patient’s needs.
Results
Before & After Gallery
About
What is otoplasty?
Otoplasty, also known as ear reshaping, is a procedure performed to improve the position, shape or projection of the ears. Prominent ears, sometimes referred to as “bat ears”, are usually the result of natural variations in ear anatomy, such as a poorly defined antihelical fold, an enlarged conchal bowl, or a combination of both.
Although prominent ears do not affect hearing, they can influence confidence and self-esteem, particularly during childhood and adolescence. Otoplasty addresses these structural characteristics by reshaping or repositioning the ear cartilage to achieve a more balanced appearance that sits naturally in proportion with the rest of the face.
benefits
What are the benefits of ear reshaping?
Ear reshaping surgery may offer a number of benefits, including:
- Improved balance and symmetry of the ears in relation to the face
- Reduced prominence of the ears for a more proportionate appearance
- Natural-looking results tailored to individual ear anatomy
- Long-lasting results
- Increased confidence
candidates
Who is a good candidate for otoplasty?
Ear reshaping surgery may be suitable for individuals who:
- Are in good overall health
- Are non-smokers, or willing to stop smoking before and after surgery
- Have realistic expectations about results and recovery
- Are concerned about prominent, protruding or asymmetrical ears
- Feel that the appearance of their ears affects their confidence
- Have ears that are fully developed (typically from around age five for children)
What to expect
What to expect during otoplasty?
Consultation
During your consultation, Mr Wilson will assess the structure, position and asymmetry of your ears. He will discuss your concerns, review your medical history and explore your aesthetic goals to determine whether ear reshaping surgery is suitable for you.
This consultation is your opportunity to ask questions, explore your options and ensure you feel fully informed and confident before deciding whether to proceed.
Anaesthesia and Procedure Time
Ear reshaping surgery typically takes around 1.5 to 2.5 hours, depending on the extent of correction required.
For adult patients, the procedure is most commonly performed under local anaesthesia with sedation to ensure comfort throughout surgery. In children, otoplasty is usually carried out under general anaesthesia. Mr Wilson will confirm the expected duration of your procedure during your consultation.
Surgery
During otoplasty, incisions are placed discreetly behind the ear to minimise visible scarring.
Depending on the ear’s anatomy, surgery may involve creating or refining the antihelical fold by reshaping or reinforcing the inner ear cartilage with sutures to achieve a natural curve.
In cases where the conchal bowl is overly prominent, a small amount of excess cartilage may be removed and the remaining cartilage repositioned closer to the head. Often, both the antihelical fold and the conchal bowl are addressed during the same procedure to achieve the desired result.
Closure
Mr Wilson carefully reshapes the ear cartilage and secures it in its new position with permanent clear nylon sutures. Once the desired correction has been achieved, the incisions are closed, and a protective bandage is applied to support healing.
Recovery
Recovery and results of ear reshaping
Recovery following ear reshaping surgery varies between individuals.
What to expect
After surgery, it is normal to experience mild swelling, bruising and tenderness around the ears. These effects are usually most noticeable during the first few days and typically settle within one to two weeks. A protective dressing or headband may be worn for several days to support healing and protect the ears while the tissues stabilise.
Initial results are often visible once the bandages are removed, revealing a more proportionate ear shape and position.
Activity and movement
Most patients can return to work and light daily activities within five to seven days. Strenuous exercise, heavy lifting and contact sports should be avoided for several weeks to reduce the risk of complications and protect the ears during healing. Your surgeon will advise when it is safe to gradually resume normal activities.
Follow-up care and long-term results
Follow-up appointments will be arranged to monitor healing and ensure recovery is progressing as expected. Final results are typically achieved within 6-12 weeks, once swelling has fully settled.
With proper care, otoplasty delivers long-lasting results, allowing patients to enjoy renewed confidence and satisfaction with their appearance.
Risks & complications
Risks and potential complications of otoplasty
As with any surgical procedure, otoplasty carries some risks and potential complications. These may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Delayed wound healing
- Swelling or fluid build-up (seroma)
- Temporary changes in sensation around the ear, including numbness or tingling
- Scarring or asymmetry
- Adverse reaction to anaesthesia
- Overcorrection or undercorrection
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
The cost of otoplasty depends on the complexity of the procedure. Factors such as the extent of correction required and the type of anaesthesia used may also influence the overall cost.
Your surgeon will discuss all pricing details during your consultation, ensuring that you have a clear understanding of what is required before making any decisions.
Surgeon
Meet Mr Paul Wilson
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
FAQ
Frequently Asked Questions
How long does otoplasty take?
Otoplasty typically takes 1.5 to 2.5 hours to complete, depending on the complexity of the correction required. The duration may vary based on whether one or both ears are being treated and the surgical techniques used. During your consultation, Mr Wilson will provide a tailored estimate based on your specific requirements.
When can I return to work after ear reshaping surgery?
Most patients can return to work or school within 7 days after otoplasty, depending on the type of work they do and their overall recovery process. For office-based or non-strenuous jobs, this timeline is typically sufficient. However, those with physically demanding jobs may require additional time to heal. Mr Wilson will assess your recovery during follow-up appointments and advise you when it is safe to resume your normal routine.
What is the expected downtime required after ear reshaping surgery?
The downtime after otoplasty is usually around one week. During this period, patients may experience swelling, bruising and mild discomfort around the ears. A supportive bandage or headband is often worn to protect the ears and maintain their new position. While light activities can be resumed within a few days, strenuous exercises and contact sports should be avoided for 4-6 weeks to ensure optimal healing.
When will follow-up appointments be scheduled after ear reshaping surgery?
The first follow-up appointment is usually scheduled within 7 days after surgery to remove any dressings and check the healing progress. Additional follow-ups may occur at 2 weeks, 6 weeks and 3 months, depending on your recovery and specific case. Mr Wilson and his team will monitor your healing and ensure you’re satisfied with the results, providing guidance throughout the recovery process.
Will I need to repeat ear reshaping (otoplasty) in the future?
In most cases, otoplasty results are permanent, and patients do not need to repeat the procedure. The cartilage in the ears is reshaped and secured during surgery, ensuring long-lasting improvements. However, significant trauma or injury to the ears could alter the results. Following post-operative care instructions and avoiding activities that may risk ear damage can help maintain the outcome. Mr Wilson will discuss these aspects during your consultation.
How long should I wear a headband after ear reshaping (otoplasty)?
Most patients are advised to wear a supportive headband for several days to one week after surgery to protect the ears and maintain their new position. In some cases, Mr Wilson may recommend continuing to wear the headband at night for an additional period to support healing. The exact duration will depend on your individual procedure and how your ears are healing.
How do I sleep after an otoplasty?
After otoplasty, patients are advised to sleep on their back with their head slightly elevated to minimise swelling and avoid pressure on the ears. Sleeping on your side should be avoided during the early stages of recovery as this can affect healing and cause discomfort. Using extra pillows or a travel pillow may help keep your head in a stable position while you sleep.
How long after an otoplasty can I exercise?
Light activities such as gentle walking can usually be resumed within a few days after surgery. However, strenuous exercise, heavy lifting and contact sports should be avoided for 4-6 weeks to reduce the risk of swelling, bleeding or injury to the ears. Mr Wilson will advise when it is safe to gradually return to exercise based on your recovery at follow-up appointments.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if ear reshaping surgery is the right option for you.
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One result, seen from different angles.
With septo-rhinoplasty, it is important to consider how the nose sits within the whole face, not only how it looks from the side.
In this case, surgery addressed the dorsal hump and tip projection while maintaining a result that remained in keeping with the patient’s natural features.
The profile shows the change most clearly, while the oblique views demonstrate how the new shape complements this lovely patient’s natural features.
Swipe to see the result from each angle.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#rhinoplasty #septorhinoplasty #septoplasty #paulwilsonaesthetics
Weight loss affects every body differently.
For some people, the biggest change is around the face and neck. For others, it may be the upper arms, breasts, abdomen or thighs. Sometimes it is one area; sometimes several.
Surgery after significant weight loss is never one-size-fits-all. Depending on your anatomy and concerns, options may include a facelift and neck lift, brachioplasty, thigh lift, abdominoplasty or breast surgery. VASER may also be considered for targeted body contouring where appropriate.
The aim is to address the changes that weight loss can leave behind and create a treatment plan that feels right for you.
Swipe through to explore some of the areas that can be affected.
All photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#surgeryafterweightloss #weightlosssuccess #glp1 #weightlosssurgery #paulwilsonaesthetics
This lovely 30-year-old patient came to see me hoping to move from an AA cup towards natural B/C cup proportions.
Her priority was to add shape and volume while keeping the result balanced with her slim frame.
We used Vectra 3D imaging during the planning process and selected 295cc high-profile Silimed True Texture Natural-Biodiesign implants.
The photographs show her before surgery and at 12 months, once the implants had settled and the result had matured.
Implant selection is about much more than volume alone. Chest width, existing breast tissue, body proportions and the patient’s preferred look all need to be considered carefully.
Every patient and every result is different. A consultation is needed to discuss what may be suitable for you.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #PaulWilsonAesthetics
Thinking about breast augmentation? Your consultation with Mr Paul Wilson is the first step.
Mr Wilson will talk you through your goals, expectations and the options available to you. Every patient’s breast anatomy is different, so the choice of implant needs to be tailored to your individual shape, proportions and desired result. You will have the opportunity to discuss different implant types, sizes and profiles, as well as what to expect from surgery and recovery.
Vectra 3D imaging will also be used during your consultation to help visualise how different implant sizes and shapes may look on your individual frame. It’s a useful tool for discussing your options and ensuring your treatment plan is tailored to your anatomy and goals.
It’s also a chance to ask questions, understand your options and feel fully informed before making any decision—there’s no pressure to decide on the day.
To book a consultation, please contact us using the details below:
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#breastaugmentation #paulwilsonaesthetics #northwoodhospital #londonwelbeckhospital
It was lovely to catch up with my patient again this week at her six-week postoperative review.
This was not a straightforward implant exchange.
Her original breast implants had been in place for 18 years. Over time, she had developed capsular contracture, a waterfall deformity and breast ptosis, meaning the breast tissue had dropped away from the implants.
Simply replacing the implants would not have corrected all of these concerns.
During surgery, the old implants and capsules were removed. A mastopexy was then performed to lift and reshape the breast tissue, before placing 365cc high-profile round Silimed implants.
These photographs were taken just six weeks after surgery, so this is still a very early result. There is some swelling and the scars are continuing to settle, but the improvement in breast position, shape and proportion can already be seen.
Revision breast surgery requires careful planning. The condition of the capsule, the quality of the breast tissue, the nipple position and the choice of implant all need to be considered together.
Her result will continue to develop over the coming months, and I look forward to following her progress.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
Photographs shared with patient consent. Individual results and recovery will vary.
#BreastRevision #BreastImplantExchange #Mastopexy #breastaug #paulwilsonaesthetics @northwood_hospital
We are pleased to announce that Mr Paul Wilson will be holding his first consultation clinic at The London Welbeck Hospital on Friday 23 October.
Mr Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience, including over 16 years as a consultant. He specialises in facial, breast and body aesthetic surgery, with particular interests in rhinoplasty, facial rejuvenation and complex revision surgery.
Consultations are available for a wide range of procedures, including facelifts, neck lifts, facial implants, hairline lowering, breast surgery, VASER liposuction, body contouring and mummy makeovers.
To book your consultation with Mr Wilson, please enquire via the link in our bio or via the information below.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#newlocation #paulwilsonaesthetics #thelondonwelbeckhospital
FACELIFT AFTER WEIGHT LOSS
Significant weight loss can leave behind loose skin, reduced facial volume and a loss of definition through the face and neck.
Following her weight-loss journey, this lovely patient underwent a deep plane facelift and neck lift to address generalised tissue laxity, descended cheeks and a softened jawline.
Shown here six weeks after surgery, she has a more defined jawline and neck, restored cheek volume and softened nasolabial folds—all while maintaining a natural, refreshed appearance.
Thank you to my patient for kindly allowing me to share her results.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#deepplanefacelift #necklift #paulwilsonaesthetics
A lovely review from a patient who recently underwent hairline lowering surgery with us at Northwood Hospital Bristol.✨
We understand that patients can feel nervous when considering surgery. From the initial phone enquiry to the consultation, surgery and aftercare, our aim is to make the entire experience feel as comfortable, supportive and stress free as possible.
We are delighted to hear how positive this patient’s experience was and how happy they are with their results.
Thank you for trusting Paul and the team with your care and for sharing such kind words.
If you are considering hairline lowering surgery and would like to explore your options, please contact us to arrange a consultation.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#HairlineLowering #ForeheadReduction #PatientReview #PatientExperience #PaulWilsonAesthetics
A small change beneath the chin can make a surprisingly big difference to the whole profile.
The neck and jawline are areas where a few millimetres really matter. Fullness beneath the chin can soften the jawline and blur the natural transition between the face and neck, even in someone who is otherwise at a healthy, stable weight.
One of the reasons I like using VASER in this area is the control it gives me. Ultrasound energy is used to loosen the fat before it is carefully removed, allowing me to work precisely around the natural contours of the chin, jaw and neck.
The aim is not to remove as much fat as possible or create an overly sharp, unnatural result. It is about removing the right amount in the right places, refining the angle between the neck and chin, revealing more of the jawline and keeping everything balanced with the patient’s face.
These photographs show the same patient from two different angles. Notice the reduction in fullness beneath the chin, the clearer jawline and the smoother transition into the neck.
VASER can be particularly well suited to this area when localised fat is the main concern and the skin quality is appropriate. Every patient is different, which is why careful assessment and planning are so important.
If you are considering neck or jawline contouring and would like to understand what may be suitable for you, please get in touch to arrange a consultation.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
Individual results vary.
Photos shared with patient consent.
#VASERLiposuction #NeckContouring #JawlineContouring #ChinLiposuction #paulwilsonaesthetics
VASER liposuction or traditional liposuction? It’s a question we’re asked a lot.
Both can be effective options for removing unwanted fat and improving body shape, but they work in different ways. VASER uses ultrasound energy before the fat is removed and can allow for more detailed contouring. Traditional liposuction may be more suitable when larger areas or volumes need to be treated.
There isn’t one option that is right for everyone. Your anatomy, skin quality, treatment area and the result you’re hoping to achieve all need to be considered.
During your consultation, Mr Paul Wilson will talk you through the options and recommend the approach best suited to you.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#VASERLiposuction #Liposuction #Vaser #BodyContouring #PaulWilsonAesthetics
Preservation rhinoplasty is about refining the nose while preserving its natural character and key structures where appropriate.
This lovely patient is 29 years old and is now 18 months post surgery. Her result shows a smoother bridge and a more refined tip, creating a softer, more balanced profile while keeping everything in harmony with her face.
Most importantly, she’s delighted with her result.
Swipe to view the result from another angle and learn more about preservation rhinoplasty.
Every rhinoplasty is planned individually following consultation.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #rhinoplastybeforeandafter #paulwilsonaesthetics
Before and immediately after preservation rhinoplasty.
These operating-theatre photographs show the change in profile directly after surgery. The bridge has been carefully refined while maintaining a natural shape that remains in keeping with the rest of the face.
Preservation rhinoplasty uses techniques designed to retain as much of the nose’s natural structure as possible while making the planned changes to its shape.
At this stage, swelling is already present and will continue to change during recovery, so this should not be viewed as the final result.
As with any rhinoplasty, the surgical plan is tailored to the individual patient’s anatomy and the changes they would like to achieve.
Images shared with patient consent. Individual results will vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PreservationRhinoplasty #Rhinoplasty #NoseSurgery #PaulWilsonAesthetics
