
Blocked ears
Wax build-up can make the ear feel blocked, full or under pressure, sometimes affecting one or both ears.
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Safe, precise ear wax removal in Nottingham with a GMC-registered doctor using ENT-grade microscope equipment in a calm, professional clinic setting.

Microsuction is a precise method of ear wax removal carried out using direct vision, so the clinician can clearly see the ear canal while removing wax. It is commonly recommended for blocked ears, reduced hearing, fullness, discomfort or recurrent wax build-up.
At Nottingham Ear Clinic, microsuction is performed by a GMC-registered doctor with specialist ENT training. We are based in Stapleford, Nottingham, and support patients from across Nottingham, Beeston, Long Eaton, Ilkeston, Wollaton, West Bridgford, Derby and surrounding areas.
Microsuction may be suitable when ear wax is causing blockage, discomfort or hearing-related symptoms.

Wax build-up can make the ear feel blocked, full or under pressure, sometimes affecting one or both ears.

Impacted wax can reduce sound clarity and make conversation, television or phone calls harder to hear.

Wax can sometimes contribute to tinnitus-like symptoms, ringing, buzzing or increased sound awareness.

Wax, dry skin or irritation can cause discomfort, itchiness or a feeling that something is trapped in the ear.

Your doctor will check for signs of infection, inflammation or discharge before deciding whether microsuction is appropriate.

If wax is not the cause, your appointment can be used to assess other possible ear conditions and advise next steps.
Your doctor will ask about blockage, hearing changes, pain, discharge, previous ear problems, surgery and any concerns before treatment begins.
Both ears are assessed using appropriate clinical instruments and ENT-grade visualisation, so the ear canal and eardrum can be checked carefully before wax removal.
Where clinically appropriate, wax is gently removed using a fine suction device under direct vision. The aim is to clear the ear safely while keeping you comfortable.
Your doctor will explain the findings, provide aftercare advice and recommend follow-up if the wax is very stubborn, the ear is sensitive or further review is needed.

Microsuction gets its name from the use of magnified visualisation during treatment. This is an important part of safe ear wax removal because the clinician needs to clearly see the ear canal, wax position and eardrum.
At Nottingham Ear Clinic, microsuction is provided by an experienced doctor-led ENT service. We use ENT-grade digital microscope equipment rather than lower-magnification alternatives, helping your doctor work carefully and explain what is seen during your appointment.
Time to discuss your symptoms, concerns and any relevant ear history before treatment.
Your appointment is prepared for both ears, even if only one ear ultimately needs treatment.
Assessment of the ear canal and eardrum before wax removal is carried out.
Wax removal using fine suction under direct vision where it is clinically appropriate and safe to proceed.
Clinical images or video may be used to document findings and help explain what is happening inside the ear.
A simple hearing screening can be carried out where appropriate to help understand whether wax build-up may be affecting your hearing.
Clear guidance on keeping the ears comfortable after treatment and when follow-up may be needed.
If your doctor feels further review is clinically needed, we will explain the next steps and arrange follow-up advice clearly.
To give the best chance of removing the wax in a single appointment, we recommend using Earol, a pharmaceutical-grade olive oil spray, twice daily for at least five days before your appointment, unless a clinician has advised you not to use ear drops.
Earol helps soften and lubricate hard or impacted wax, which can make microsuction easier and more comfortable. However, even with the correct preparation, it may not always be clinically safe or possible to remove all the wax in a single appointment.
If you have ear pain, discharge, a known or suspected eardrum perforation, or have previously had ear surgery, please contact the clinic before using any ear drops.
Most patients can return to normal activities straight away. If the ear canal feels sensitive, your doctor may advise keeping the ear dry for 24 to 48 hours.
Avoid cotton buds, tissues or other objects in the ear. If a large amount of wax has been removed, normal sounds may feel louder for a short time while your hearing readjusts.
Common questions about microsuction ear wax removal at Nottingham Ear Clinic.
Yes. Your doctor will examine your ears first and confirm what is needed. If you book the closest appointment but a different treatment is required, your appointment can usually be upgraded during the same visit where clinically safe and appropriate. You only pay the difference in fee, not for two separate appointments.
No. You can book microsuction directly with Nottingham Ear Clinic. If you are unsure whether microsuction is the right appointment, our team can help guide you before booking.
Microsuction usually feels like a light pulling, tickling or suction sensation. You may hear a suction sound during treatment. Most patients find the appointment comfortable and straightforward.
You will be booked for a 30-minute appointment so your visit is not rushed. This allows time for your doctor to listen, examine your ears, provide treatment where appropriate and explain aftercare.
To give the best chance of removing the wax in a single appointment, we recommend using Earol, a pharmaceutical-grade olive oil spray, twice daily for at least five days before your appointment, unless a clinician has advised you not to use ear drops.
Earol helps soften and lubricate hard or impacted wax, which can make microsuction easier and more comfortable. However, even with the correct preparation, it may not always be clinically safe or possible to remove all the wax in a single appointment.
If you have ear pain, discharge, a known or suspected eardrum perforation, or have previously had ear surgery, please contact the clinic before using any ear drops.
If no ear wax is found, your doctor will still assess the ear canal and eardrum and explain whether another ear-related condition may be contributing to your symptoms. You will be advised on the most appropriate next steps for your findings.
Most patients can have their wax removed in a single appointment. Occasionally, the wax may remain too hard, deep or impacted, or the ear canal may be too sensitive for removal to be completed safely.
Your doctor will not continue if doing so could cause unnecessary discomfort or injury. If complete removal is not possible, they will explain the next steps and may provide further instructions or recommend suitable ear drops to soften the remaining wax before you return.
If your doctor recommends a microsuction follow-up appointment, this is charged at a reduced fee of £50.
Not all ear wax removal appointments provide the same level of medical assessment, clinical expertise or ongoing care.
At Nottingham Ear Clinic, every microsuction appointment is carried out by a GMC-registered doctor with specialist ENT training and many years of clinical experience. Our clinic is registered with the Care Quality Commission, the independent regulator of health and social care services in England. Not every high-street ear wax removal or audiology service operates within the same CQC-regulated clinical framework.
Your appointment involves considerably more than simply removing wax. Your doctor will consider your symptoms and medical history and carefully examine the ear canal and eardrum. This allows us to identify other possible causes of blocked ears, pain, discharge, itching or hearing changes, including infection, inflammation, eczema, eardrum problems and middle-ear conditions.
Where wax removal is clinically appropriate, microsuction is carried out under direct vision using ENT-grade microscope equipment. If another ear condition is identified, our doctors can often investigate and manage it directly. Where appropriate, we can provide private prescriptions, arrange ear swabs and organise further investigations, including MRI scans, without routinely sending you back to your GP for a separate referral. If a serious or urgent concern is identified, our clinicians can contact or refer you directly to the appropriate local ENT service.
It is this combination of medical expertise, thorough clinical assessment, specialist equipment, wider diagnostic and treatment capabilities, clinical governance and CQC-regulated care that our fee reflects.
Ear wax removal appointments are booked as bilateral appointments, meaning both ears are assessed even if only one ear needs treatment. The appointment price remains the same.
Microsuction is often preferred to syringing when there has been previous ear surgery because it is performed under direct vision. Your doctor will take your history and examine your ears carefully before deciding whether it is appropriate.