Do I need my conchal bowl cut? (photos)

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, you are a great candidate for an otoplasty.  There are several techniques which could be employed during your surgery.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Dear jason_smith,In a word, yes, you do need your conchal cartilage reduced to correct your prominent ears.  The specifics of whether you need any additional work done are best addressed with an in person consultation with an American Board of Plastic Surgery board certified plastic surgeon.  Good luck!

In my experience, nonexcisional techniques such as suturing do not treat conchal bowl excess in a durable and predictable manner. In a patient with strong/prominent conchal bowls such as yours, I would lean toward excision of cartilage excess followed by suture modification of the remaining parts of the ear.