The main surgical objective in the correction of prominent or misshapen ears is to reduce the protrusion and at the same time to provide a normal configuration when the ear is viewed from the side. This objective is achieved by modifying the flexibility of the cartilage beneath the skin thereby altering the shape and position to a more desired appearance. The procedure is performed in theatre and usually takes about 45 minutes. It is usually carried out with the use of local anesthesia, mainly with sedation, or alternatively with a general anesthetic. In most types of procedures for prominent ear correction an incision (about 4-5 cm) is usually made in the skin in the groove behind the ears where any remaining surface scar will not be directly visible. Occasionally however incisions are placed on the front surface of the ear, although these are placed inconspicuously within the normal contours or creases. After reconstruction/correction of the shape and position of the ear is accomplished, the incisions are sutured and the ears are carefully padded with cotton wool and a bandage is applied.