There are several reasons why ears may appear to be positioned too far from the head. A part of the ear anatomy known as the “anti-helical fold’ determines how close the ear rests to the head. In some cases, the anti-helical fold is underdeveloped, which causes the ears to stick out. In other cases, there may be an excess amount of cartilage in the area where the ear connects to the head, pushing the ear forward and outward. Facial Plastic Surgeon, Dr. Buonassisi helps people considering otoplasty by creating or enhancing the anti-helical fold. He makes a small incision behind the ear, then draws the ear closer to the head. He may also need to remove excess cartilage during the procedure. His goal is to create a lasting and natural improvement to the ear appearance. During an ear surgery procedure, Dr. Buonassisi makes an incision behind the ear to trim away excess skin and cartilage. He uses carefully placed stitches to create folds and make small adjustments to give the ear a more natural appearance. The surgical incisions are small and the scars are almost imperceptible once fully healed. The procedure itself takes about two hours to perform.