Otoplasty focuses on reshaping the ear's framework, known as the pinna. The surgeon makes a discreet incision hidden in the natural crease behind the ear (the post-auricular fold). Through this incision, the cartilage is accessed and modified. The goal is typically twofold: creating a defined antihelical fold, which is often absent in prominent ears, and reducing the 'conchal bowl' depth to bring the entire ear closer to the skull.

Unlike older methods that simply 'pulled' the skin, modern otoplasty uses internal, non-dissolving sutures to reshape the cartilage itself, ensuring the ears do not look 'plastered' against the head but maintain a natural, three-dimensional contour.

The benefits of this procedure include:

• Permanently corrects prominent or 'bat' ears.
• Restores or creates the natural antihelical fold of the ear.
• Significantly reduces self-consciousness and psychological distress.
• Incision is hidden in the natural crease behind the ear.
• Can correct asymmetry where one ear is more prominent than the other.