In the case of older children and adults, the procedure is performed under local anesthetic and sedation( pain-free).
In younger patients, a general anesthetic is preferred.
The procedure is done through a small scar behind the ear. Once the ear cartilage has been exposed, the cartilage shape is changed and maintained by means of fine sutures. It is often necessary to reduce the cavity in the ear known as the concha. This has the effect of advancing the ear closer to the head.
Once the skin has been closed using fine, dissolvable sutures, a special protective bandage is placed around the patients head, protecting the ears but at the same time reducing the discomfort.