Large, prominent ears are a result of a change in the structure of the ear. Some oversized ears are a result of developmental problems of the pinna. Other times it could be due to the oversized shape of the concave. Sometimes, it is a combination of both.

Oversized ears can be fixed from aged five or six, when the ear reaches it maximum size. If the deformity is more extreme, then treatment at an earlier age is highly recommended, so as to prevent any emotional trauma. Consultation with a plastic surgeon is necessary before performing the procedure. At this consultation, the surgeon will explain the surgery, anesthesia process, expected results and possible complications.

Surgery candidates will be requested to perform a number of blood tests; they will also need to inform their doctors of any food restrictions, medications (even aspirin, as aspirin may cause complications), and smoking habits.

The operation is done under general or local anesthesia, depending on the age of the patients. The most accepted method of performing the surgery is by cutting the back of the ear, allowing the surgeon access to the cartilage. The surgeon will then fold over the cartilage using stiches, changing the shape of the ear.

After surgery, the patient will be given a bandage in the shape of a helmet, which can be taken off after 10 days. The stitches will be removed after two weeks. If the patient needs pain reliever medication, he will be given a prescription. It is recommended to wear a light elastic band during the night for a few months following surgery.

The most common complication that occurs is an infection of the cartilage, which can be treated with antibiotics.