Ideal otoplasty candidates were born with overly small or large ears, or ears with significant cosmetic deformities. You could be a good candidate for ear surgery if your ears are offset or disproportionate to your head. Other ideal otoplasty candidates have suffered an injury that negatively affected the positioning or shape of the ears. As with any surgery, ideal candidates for otoplasty should also be in good health, have realistic expectations and have a positive attitude.