Your surgeon will take a full medical history and examination, including any history of excessive bleeding or poor wound healing as the lobular and the back of the ear are two of the few areas on the body prone to keloid scarring. He will take a general assessment of the auricles: asymmetries, irregularities, position, size and shape of the ear will be noted and discussed with the patient. Auricles should measure 5-6 cm in height, and the long axis should recline approximately 20o from the vertical plane. The auricle should diverge from the occipital scalp at no greater than a 35o angle.
Preoperative photographs will be taken in standard frontal, lateral, and oblique positions. Additionally, a bird’s eye view from above and/or posterior views can help document lateralization. Close-up lateral and oblique photographs can aid in analysing the deformities in each ear.
A patient must also be judged to be cooperative with the postoperative regimen.