How it works
Everything starts with a consultation. Your doctor listens to what concerns you, examines both ears to see which part of the cartilage makes the ear stand out, and assesses how balanced the two sides are. From there, your doctor talks through whether to recreate the cartilage fold, reduce the depth of the ear bowl, or combine both, while explaining clearly what surgery can and cannot do in your case.
The type of anesthesia depends on your age and what you prefer. Adults usually have local anesthesia, sometimes with light sedation; children usually need general anesthesia so they stay still throughout the operation. The anesthesiologist will assess you and discuss this with you privately before surgery.
The incision is usually placed at the back of the ear, in the crease between the ear and the head, so the scar is hidden in a discreet area. Through this incision, your doctor exposes the ear cartilage and then reshapes it to create the fold that is missing. Your doctor may use special sutures to fold and hold the cartilage (one cartilage-shaping suture technique often mentioned is the Mustarde technique), may thin or gently score the surface of the cartilage so it bends more easily, and, when needed, may place fixing sutures to draw the ear closer to the head.
Once both ears look balanced, the incision is usually closed and a gentle compression dressing is wrapped around the head to hold the ears in place and limit swelling and fluid buildup in the first few days. The whole operation usually takes about 1 to 2 hours, depending on how much correction is needed and whether one or both sides are treated. Most people can go home the same day, but whether you are observed or stay overnight depends on the type of anesthesia and your condition.