All plastic or cosmetic surgeries carries some uncertainty and risk. When otoplasty is performed by a qualified Plastic Surgeon, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable. Probably the most common is residual irregularity in the cartilage when the ear is viewed from either frontal of side angles. It should be noted however, that both ears are never exactly alike, even in the normal state, and that perfect symmetry is therefore not a reasonable expectation. Significant degrees of differences may however require some secondary adjustment. Mild infection around the stitches is common following ear reconstructive surgery but this normally resolves itself quite quickly. Antibiotics would be prescribed as deemed necessary. Occasionally the wound behind the ear may loose adhesion and open up partially. This inevitably heals up again of its own accord although attention to dressings will be required. The final appearance of any scar is impossible to predict. Thankfully in most cases of prominent ear correction the scar is hidden behind the ear. Nevertheless you should always expect these to appear red raised and lumpy in the first few months after cosmetic surgery. After this time however these usually soften and fade. In rare cases the development of permanent, hard, thick scar tissue (keloid scars) can occur. Bleeding, as in any operation can occur. Despite meticulous care taken during the operation to stop any bleeding from the small blood vessels divided during surgery, occasionally, a small blood vessel leaks postoperatively. The development of what is termed a haematoma (collection of blood under the skin) would then occur. If deemed significant then this would require drainage. One of the purposes of the head bandage and careful padding is to minimise the risk of this collection, which is why it should not be disturbed. As a result of excessive swelling and bruising, occasionally the skin on the front of the ear forms a blisterwhich subsequently breaks down and forms a scab over this. This normally heals up again of its own accord although it may take up to 4 weeks and may leave behind a small scar. Finally the operation has no adverse effects upon the hearing mechanism, which involves the inner ear structures. You can reduce your risks by closely following your surgeon’s advice both before and after cosmetic surgery.