Young woman with a prominent ear. She wanted to bring the ear closer to her head, although, not pinned to her head. Used computer imaging to illustrate how she wanted her ear to appear after surgery.The most common cause of prominent ears is a poorly developed antihelical fold. This fold is in... the middle of the ear and causes the normal ear to face away from the head at a 25-30 degree angle. When this fold is not present, the ears don’t fold back and they face forward at a 90 degree angle from the head.The key in acheiving excellent results with otoplasty surgery is to bring the ear closer to the head, creating a 25 degree angle, but avoiding having it pinned to the head at a 0-10 degree angle. Having the ears to close may give an unnatural or operated appearance.Procedure: Otoplasty with sutures to create antihelical fold, helping the ears face the side instead of the front. 3 Month Follow-up: We achieved a natural appearing result. Her ear matches her face, we were pleased with the improved symmetry.