Why is my ear this shape? Is otoplasty possibly with cartilage? (Photo)

In general, suture otoplasty surgery is reserved for moving somebody's ear that sticks out too far, closer to their head. The top of your helix appears to be short on both sides, however, the architecture appears okay. An examination would be necessary, however, I'm afraid that there may be no good surgical intervention if you want the top of your ears to be taller. Wishing you well. Sincerely, Dr Joseph

Your ears can be reshaped by modifying the cartilage, however it would be a good idea to let your surgeon know how you’d like your ears to be reshaped.

You have a mild form of what is called a Stahl’s ear. Although it can be corrected I think you will have a hard time finding a surgeon with experience correcting it. It is probably best left untouched

In-person evaluation will determine the findings more definitively. It appears from the photo that the Left ear cartilage (a part called the helical rim) has misshapen cartilage. If the cartilage is thick, then some can be removed to create a more natural shape (to better define the scaphoid fossa). If the cartilage is thin and is bent forward, then it will depend on the skin (best determined in-person). For the Right ear, it appears that the helix is a bit flattened. It is reasonable to use filler, platelet rich fibrin, or sculptra to thicken the soft tissue and give it some volume. In-person evaluation will also help determine if there is excess protrusion of the ears.