There are 2 basic types of ear surgery. One involves removing cartilage from the ear and the other is when skin is removed from the ear.
Cartilage removal method:
The surgeon will make an incision in the back of the ear to expose the ear cartilage. The cartilage will then be formed into shape and bent further back towards the head. Permanent stitches may be used to hold the ear in place. Some cartilage may be removed to establish the desired size and shape.
Skin removal method:
This technique involves making an incision in the back of the ear and removing some skin. The cartilage is folded back onto itself to reshape the ear. Stitches are used to hold the ear in place.
For both procedures a faint scar may appear in the back of the ear. The type of anesthesia used depends on the age of the patient and your surgeon.