In essentially all cases of routine otoplasty for prominent ears the incisions (skin cuts) are hidden completely behind the ear. Although some plastic surgeons still make incisions in front of the ear, I have been quite successful with keeping our incisions behind the ear. My otoplasty technique involves an incision made in parallel with the attachment of the ear to the scalp. This type of approach provides me sufficient exposure to reshape the entire ear without having to make an incisions on the front. Therefore, there are no scars or visible signs of otoplasty having been performed.