Details otoplasty Furnas conchal set back
Photographs demonstrating pinback surgical plan using external pressure to simulate effect of surgery.
Before surgery folding the ear alone leaves the concha bowl edge still protruding. This would obstruct the rim when viewed from the front and look unnatural.
A pen pushes the conchal bowl back towards the skull. This is the desired effect of a conchal cartilage set back. The left image has no extra folding at the antihelical fold. The right has the desired amount of setback and folding.
A deeper hollow is created by removing tissue between the cartilage of the concha and the bone of the skull. Then sutures are used to recess the cartilage bowl. The left and right conchae are set back and positioned for symmetry.
Some ear deformities only involve the conchae. When both the bowl and the fold contribute to the problem as in this case, additional stitches will then be needed to increase the fold of the ear.