Im about to do a revision surgery on a otoplasty performed back in 2019. My pervious surgeon did a good job in creating the the antihelical fold however didnt adress the main cause of protrusion which is excess cartilage on the top part of the ear(triangular fossa).I spoke with the my current surgeon and he said cartilage removal isn’t recommended for the top half of the ear and that removing some skin and placing sutures should produce the desired results.I have attached a picture for reference