Initially, the surgical area is meticulously cleaned. Following this, I administer local anesthesia with extreme care, utilizing a remarkably fine needle tip. The majority of patients experience minimal to no discomfort during this process. In rare instances, some patients may briefly experience a mild burning sensation, which quickly subsides as the ear progressively becomes numb. I begin by numbing the rear of the ear and subsequently address the front. It’s important to note that I numb both ears before the surgery, and the effects of the anesthesia typically endure for a minimum of 3-4 hours.

I frequently commence the surgery with the more deformed ear. Before doing so, we repeat the cleaning of the surgical area using an iodine solution and then drape the patient with a sterile cover, leaving the ear area exposed. The patient’s facial area remains covered throughout the entire surgery. To ensure comfort, the patient can lift the sterile cover  from the inside should the need arise to adjust or relax.

In standard prominent ear surgery, the incision is typically made behind the ear, and in most patients, it begins at the upper portion of the ear and extends towards the earlobe. However, it’s important to note that while this approach is suitable for the majority of patients, there are cases where the incision on the visible front of the ear is planned, particularly for patients requiring ear reduction, when dealing with prominent Darwin’s protrusion, or in certain other situations.