Thank you for the question. Otoplasty surgery is a very patient pleasing operation that can be performed under local anesthesia, local anesthesia with sedation, or general anesthesia. Much will depend on surgeon preference, specific patient anxiety level, and/or technical details of the procedure.
Most important will be: careful selection of plastic surgeon. You will want to make sure that your plastic surgeon has significant/demonstrable experience achieving the types of outcomes you will be pleased with. You may find the attached link helpful to you as you learn more. Best wishes.