An otoplasty is a procedure that “pins back” or reduces protrusion and restores absent folds of the ear. Most of these patients are born with protruding ears and they have always felt self-conscious about them. Candidates for the otoplasty procedure describe never wanting to draw attention to their ears and growing their hair long to conceal them. Generally, we want the ears to attract less attention. Positioning them closer to the head makes them more inconspicuous. It is more successful to perform this procedure earlier in life when the ear cartilage is less resistant to change.
An earlobe reduction is a procedure that makes the earlobe smaller. Ears do not really "grow" with aging but seem to due to increased laxity and sagging of the earlobe. Candidates for this earlobe reduction often also have excess skin laxity and/or jowling and may benefit from a lifting procedure. However, just reducing earlobe size may create a more youthful appearance.
Gauge earlobe repair converts a stretched earlobe from gauge earring use to one that appears natural. Candidates for gauge earlobe repair often describe having "grown out" of them and wanting more normal earlobes again. Gauge earlobe repair may be a simple or complicated procedure depending on how stretched the earlobe has become. In almost all cases, a excess earlobe skin is removed and the remainder is flapped together to restore a round earlobe.