Born With "Flat Tipped' Ears, Can Otoplasty Fix The Helix? (photo)

Hi,
You have a normal helix and a poorly developed ANTI-helix. This is one of the 2 main causes of prominent ear (the other is excess cartilage in the deep bowl of the ear). Recreating the anti-helix is done with carefully placed, permanent sutures. The ear can be set back as well as needed. None of these procedures require any grafting material. It is very important to seek treatment from an otoplasty expert. 
Mehdi Sina, MD

I wish I could see your ears from the front view also!  If your ears are prominent from the front view then creating the anti-helix and superior crus will be a great option for you.  However if your ears are not outset then you may need ear reduction surgery to decrease the size of the ear.  

Thank you for the question and pictures.

I think the major issue involving your ears is the lack of a anti-helical fold. Reconstruction of this fold will set the ears back slightly and create the impression of a smaller ear  as well. This is done through an incision behind the ear,  using permanent sutures to create the anti-helical fold, with no visible scarring.

I do not think you need any surgery on the helix itself;  I would certainly not suggest that you have any procedure that would result in visible scarring.

Otoplasty surgery carries risks of recurrence of the prominence,  recurrence of the “flat” appearance of the ears, potential palpability of sutures, ear  asymmetry,  numbness  and the potential need for further surgery (as well as the other general risks associated with surgery).

Make sure you are working with a well experienced board-certified plastic surgeon.  See lots of examples of his/her work.

Best wishes