Ear wax removal: your complete guide to microsuction

Why ear wax becomes a problem

Ear wax (cerumen) is actually beneficial — it protects the ear canal from dust, bacteria, and water. Most of the time, it naturally works its way out of the ear without any intervention. But sometimes, wax accumulates faster than it can clear, especially if you:

• Use cotton buds, which push wax deeper into the canal
• Wear hearing aids or in-ear headphones regularly
• Have narrow or hairy ear canals
• Produce naturally harder or drier wax
• Are prone to skin conditions like eczema

When wax builds up enough to block the ear canal, it can cause a range of symptoms — from mild irritation to significant hearing loss. The good news is that treatment is straightforward, safe, and provides immediate relief.

What is microsuction?

Microsuction is the gold-standard method for ear wax removal, used by ENT specialists and audiologists. It involves using a small suction device — similar to a tiny vacuum cleaner — to gently remove wax while looking directly into the ear canal through a magnifying microscope or loupes.

Unlike ear syringing (which uses water pressure), microsuction is completely dry. This makes it safer, more comfortable, and suitable for people with perforated eardrums, previous ear surgery, or active ear infections.

What to expect during your appointment

A typical microsuction appointment at AtWell takes around 20 minutes and follows a simple process:

1. Initial examination: Kate will examine both ears using an otoscope to assess the amount and type of wax present, and check for any signs of infection or other issues.
2. Explanation: You'll be told exactly what she can see and what the procedure will involve. If there are any concerns, these will be discussed before proceeding.
3. The procedure: Using magnification and a gentle suction device, wax is carefully removed from the ear canal. You may hear a mild sucking sound — this is normal.
4. Post-procedure check: Both ears are examined again to ensure all wax has been removed and the ear canal and eardrum look healthy.
5. Aftercare advice: You'll receive guidance on how to look after your ears and whether follow-up is recommended.

“I've been removing ear wax for over 20 years, and I still find it genuinely satisfying. Seeing someone's face light up when they can suddenly hear properly again — that never gets old. It makes such a difference to people's quality of life.”

Is microsuction suitable for children?

Yes. Microsuction is safe for children from age 3 onwards. Kate has extensive experience working with children — including those who are neurodivergent or anxious about medical procedures. She takes extra time to explain what's happening, uses a gentle approach, and always prioritises making children feel safe and comfortable.

For very young or anxious children, parents are welcome to stay in the room throughout the procedure.

Aftercare and prevention

After microsuction, your ears should feel immediately clearer. Some people experience slight sensitivity or a mild “open” feeling for a day or two — this is normal and settles quickly.

To help prevent wax buildup in the future:

• Avoid cotton buds: They push wax deeper and can damage the ear canal or eardrum.
• Let your ears self-clean: Wax naturally migrates outwards. Simply wipe the outer ear with a cloth.
• Consider olive oil drops: If you're prone to buildup, using olive oil drops once a week can help keep wax soft and mobile.
• Clean hearing aids regularly: If you use hearing aids, clean them daily to prevent wax accumulation.

When to see a GP instead

While most ear wax issues can be resolved with microsuction, some symptoms require a GP consultation first:

• Discharge from the ear — especially if yellow, green, or bloody
• Severe pain — beyond mild discomfort
• Sudden hearing loss — particularly in one ear only
• Persistent dizziness or vertigo
• Recent ear surgery or known perforation

If you're unsure whether microsuction is right for you, feel free to contact us and we can advise.

Book ear wax removal at AtWell

Kate offers ear microsuction appointments at AtWell for adults and children from age 3. Appointments are typically available within a few days, and no GP referral is needed.

Visit our ear health service page to learn more or book an appointment.