Otoplasty, or ear surgery, is a surgical procedure performed to correct large, protruding or otherwise deformed ears for a more proportionate appearance. Unlike most other plastic surgery procedures, otoplasty is most commonly performed on children, as the ears are typically finished growing by the age of four. Early treatment helps reduce teasing and any affect on self-esteem that large or misshapen ears may cause. Otoplasty may often be performed to correct ears damaged by an accident or injury. During the otoplasty procedure, an incision is made behind the ear to remove or reshape the cartilage and adjust the size and position of the ears for a more natural-looking appearance. For children, this procedure is usually performed under general anesthesia and sedation. Both ears may be operated on in order to achieve better balance. The results of the otoplasty procedure are permanent and scars will fade with time to become less noticeable.