Instead of using q-tips, I use olive oil preparation these days, twice a week, and never have had problems with excess wax anymore.
Incidentally, I did get my tinnitus from ear syringing back in 2010. This was a procedure of water being pushed into my ear canals in order to remove wax blockage.
Chronic tinnitus
can sometimes result from cerumen removal procedures.
Personally, if I were to experience excess wax causing blockage in hearing again, I would probably opt for an experienced clinician using a curette to try and remove the blockage. Hopefully with the regular use of olive oil I will avoid that fate - so it looks for now.