This gentleman has concerned about the projection of his ears and in particular the upper pole. A local anaesthetic procedure can be performed to recreate the fold of the ear and the scar is placed behind the ear. This is a simple procedure that takes around 30-45 minutes and by not stripping the skin away from the cartilage and using stitches to recreate the fold the complications are minimal. It is important during the first 6 weeks postop to avoid contact sports and ideally patients should wear a headband to help keep the upper poles closer to the scalp. This is particularly important while sleeping where the fold of the ear can be distorted.