It’s not unusual for patients who undergo otoplasty, to have baseline ear asymmetry. This asymmetry may occur for a variety of reasons. These include asymmetry of the skull, ear size, ear shape and ear position. In your case, you have a condition known as a unilateral prominent ear. Correction of this problem usually requires a setback otoplasty. In some cases a bilateral procedure may be necessary to attain symmetry. The surgical correction for asymmetry can be highly successful in this situation. In other cases, it can be virtually impossible to create symmetry. In cases where skull asymmetry is present or when the ear is abnormally positioned, symmetry is probably not possible. Under these circumstances, it may be more appropriate to disguise the asymmetry. When this type of situation arises consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that’s appropriate for your problem.