Ear wax removal with micro-suction
At Ear Care Auckland, Audiologist Maree O’Sullivan provides safe ear wax removal using gentle micro-suction. Micro suction quickly removes earwax using a vacuum system with a tiny tube. It is for people experiencing hearing loss or discomfort from earwax. This method is gentler than traditional ear irrigation and avoids introducing fluid into the ear.

Help my ear is blocked!!
Blockages in the ear canal can occur gradually over time and stay under the radar. The blockage can become noticeable suddenly after sleeping on that side; if water gets into your ear and behind the wax; or after rubbing your ear. This is because the wax moves and blocks your ear canal or water gets trapped behind it. Effectively, the ear wax starts acting like an ear plug.
Before your wax removal appointment
It’s completely understandable to want to clear your ears when they feel blocked, and it can be tempting to reach for cotton buds or other items. We see this often! However, we gently advise against inserting anything into your ear canal, especially when it feels completely blocked. Doing so can sometimes push the earwax further in, making it more compacted and potentially uncomfortable against your eardrum. There’s also a small risk of irritating the delicate eardrum.
We advise against using cotton buds or
any other objects in the ear canal.
Please don’t worry if you’ve already used cotton buds or if your ear feels sore or blocked – that’s absolutely fine, and we’re here to help! Our kind and experienced team is ready to gently remove the wax and ensure you feel much more comfortable. We’re looking forward to making your ears happy again!
Please do:
Use Olive oil drops. Olive oil (or other vegetable oil) moves down your ear canal between the ear wax and your skin. This makes it easier and more comfortable to remove. Olive oil and almond oil are the best you have a choice. Olive oil has some antibacterial properties and almond oil is a finer oil.
* If you know or suspect you have a hole in your ear drum (perforation), do not put oil or drops in your ear.
Instructions for Oil Use
- Place a few drops of olive oil into your ear and lie on your side for 7-10 minutes.
- Hold a tissue over your ear and massage it a bit to help the oil reach deeper down your ear canal.
- Repeat on the other ear.
- Do this morning and night for two to three days before your appointment.
Please do not use Waxol or Cerumol ear drops.
These drops can melt the wax, which can move down onto your eardrum. This will increase the blocked sensation and make ear wax removal more difficult. These drops are are funded and are frequently prescribed by GP’s. In the past, wax removal by water irrigation was common. The wax melting onto the ear drum was probably not such a problem.
When using the suction method for earwax removal, olive oil is the recommended option. This is because when wax has been in the ear for a while, it becomes stuck to the skin of the ear canal. The purpose of using the oil is to loosen the wax from the ear canal, which makes removal more uncomfortable.
If you have used ear buds or products such as Waxol or Cerumol before reading this information, do not worry. There is no need for concern. In most cases, we will still be able to fully clear your ears at the first appointment. However, sometimes we will need a follow-up appointment if the wax is too difficult or uncomfortable to remove. The cost for the follow-up appointment is $50.
What if all of the wax in my ear cannot be removed at the first appointment?
Impacted wax can occur when the wax in your ears has been there for a long time. It may also occur when wax is pushed down onto your eardrum with a cotton bud or other item. The wax could have been moist when it originally moved deep into your ear canal. Over time, it dries out and sticks to the ear canal wall or ear drum. In some cases, despite careful effort, earwax can not be completely removed during the first appointment.
Removing impacted earwax
We will remove as much wax as possible from the ear canal at the first appointment. We will then ask you to use olive oil morning and night for a few days (instructions above). The olive oil will gently make its way between the wax and your skin. In most cases, we can remove the rest of the wax when you return for your second appointment. The cost of a follow-up appointment is $50.
What if ear wax removal does not improve your hearing?
A wax blockage can cause a hearing loss because the wax may function like an earplug, preventing sound from passing through the ear canal to the eardrum. In some cases, wax can be pushed down onto the eardrum. This causes a more significant hearing impairment because the eardrum can’t vibrate. In these cases, removing the earwax will help you to hear better instantly.
If there was some wax in your ear, but a gap allowed sound to reach your eardrum and vibrate normally, you might not notice a significant change in your hearing. Alternatively, you may find that you can hear higher-pitched sounds more clearly.We can show you an image of your ear canal and eardrum once we have finished removing the wax.
If you feel that your hearing has not improved as much as anticipated following ear wax removal, we recommend scheduling a full hearing assessment. We can recommend a hearing clinic that is convenient for you.
What if your ear canals are clear when you come to your appointment?
If we find that your ear canals are clear during your appointment, we will use the time to discuss the reason for your visit and address these concerns. As an experienced Audiologist, Maree will recommend the most appropriate approach to manage your hearing or ear care needs. For example:
- If your ear canals are clear but look sore and irritated, the most common reason is because items (ie cotton buds) are put into the canal.
- We will show you an image of what your ear canals and eardrum look like using a video camera. We can send you an image to keep if you would like that.
- We will recommend letting your ear canal heal by avoiding putting items into your canals. Using cotton buds and other objects to “clean your ears” can be a hard habit to break.
- Once you stop and let your ear canals heal, they will build up a healthy layer of protective wax. Your ear canals will be more comfortable.
- Here is some more information about managing itchy ears.
- If your ear feels blocked, but there is no wax, we will look at your eardrum to see if it is possible there is fluid behind your ear drum. Alternatively, there might be negative middle ear pressure. You may need to go for a full hearing test to establish the reason for the blocked feeling. We can recommend a hearing clinic that is convenient for you.
- If your ears are clear and you are symptom-free, we will show you what your healthy ear canal and eardrum look like using a video otoscope. Then reassure you that your ears are doing an excellent job of cleaning themselves as they do for most people.
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