During otoplasty, incisions are made behind the ears to access the cartilage. The surgeon may reshape the cartilage, reposition the ears closer to the head, or reduce their size, depending on the individual's concerns and desired outcomes. The incisions are then carefully closed to create a more natural ear contour.

The duration of an otoplasty procedure typically ranges from 1 to 2 hours, depending on the complexity of the correction needed. Techniques involve sculpting or folding the cartilage to achieve the desired ear shape and position.

Following the procedure, patients may experience mild discomfort, swelling, and temporary bruising around the ears. A headband or dressing may be worn to protect the ears during initial healing. Most individuals can resume non-strenuous activities within a few days to a week. Adherence to post-operative care instructions and attending follow-up appointments are essential for optimal healing and achieving desired ear shape and position.