The surgeon gives an incision in the back of the ear and exposes the cartilage. The cartilage is given new shape by either scoring it outer surface or folding it on itself and then taking stitches to retain the shape or a combination of both. Sometimes the surgeon may remove a piece of skin and / or cartilage for the desired result.

Sometimes even when one ear is affected the other ear may be modified to give a balanced result.

The surgery lasts for abut 2 to 3 hours (Both sides). It leaves a scar on the back of the ear, that will become less visible with time.

The patient is given a dressing wrapping the ears. The dressing is tight and bulky to promote the molding of the ear in new shape and to minimize any collection between the skin and the cartilage.