When it comes to making a large ear smaller, I happen to be one of the few surgeons in the country who does this on a regular basis. This is termed macrotia surgery – also known as scapha reduction since the actual scapha is made to be smaller. Keep in mind this is totally unlike ear pinning, or otoplasty, surgery where the ear is essentially brought closer to the side of the head. Macrotia (scapha reduction) is intended to make the vertical dimension of the ear significantly smaller. Take a look at the video below, which gives you more of a visual idea of what macrotia (scapha reduction) surgery can do for you.