Top O toplasty or ear pinning is a very common reconstructive technique that is used for people who have protuberant ears.
Protuberant ears is a genetic deformity and ranges in severity.
Otoplasty will reposition the cartilage and skin complex closer to the scalp to change the shape and appearance of the ear. Men and women, as well as children, are candidates. However, for children the ear growth is only 90 percent complete by the age of three so it is best to wait until the child is of pre-school age to have the operation performed. It is ideal to have the surgery as a child, but it is just as successful for adults. The incisions are hidden in the crease behind the ear and there are various techniques used to change the shape of the cartilage to a more normal size and shape to fit each patient's appearance.