Otoplasty, also known as ear pinning or ear reshaping surgery, is the most common cosmetic procedure performed to improve the appearance of protruding and abnormal-appearing ears. Most patients who have prominent and cosmetically unacceptable ears have had this condition since childhood. Social embarrassment is in the usual reason for seeking correction. Ear reshaping surgery is often done in early adolescence between the ages of 5 and 10 years old. Adults frequently wished to have this procedure performed later in life as the ears have always bothered them. The procedure involves surgical incisions behind the ears and manipulation of the cartilages with sutures to create a more natural fold with some degree of skin reduction, sometimes cartilage reduction, and placement of the bowl of the ear closer to the head. Other procedures may be necessary to improve the prominence of the earlobe as well. On occasion, patient’s have only one side of their ear that is involved and a unilateral procedure may be necessary. The result is a more natural appearing ear, which are less noticeable and less prominent.