An otoplasty is a cosmetic surgery to change the appearance of a person's ears. The otoplasty procedure has many variations, such as bringing the ears closer to the head, which is called ear pinning, reducing the size of very big ears, or reshaping various bends in the cartilage. Other ear reconstructive procedures deal with the deformed, or absent ears. The otoplasty procedure can be performed on children as young as 5 years old.