During the surgical consultation, the surgeon examines the condition, shape and size of the ears. Photographs are typically taken. The procedure is then performed under a local anesthesia with sedative or general anesthesia if the patient is struggling to keep still or become highly anxious.
The surgeon will proceed by making a small incision along the lines that mark the ear’s connection to the head so he can remove, trim, or cut a part of the cartilage or skin until the desired shape and size are achieved. In some cases, especially when the ears appear to be more forward, the surgeon pulls, rather than trims, the cartilage back, suturing it to the back of the ears and to the head to keep the ears in place.
The surgery may take at least two hours and the patient is allowed to go home once the effects of anesthesia have worn off. However, the doctor may advise against getting involved in strenuous physical activities for the next two months.