The patient presented here came to Cosmetic Surgery Affiliates interested in ear pinning. She expressed concerns about her ears sticking out and stated that she wanted a flatter looking appearance. Dr. Nuveen performed an Otoplasty where he pins back the ears, so they do not project from the scalp as prominently. The before and after pictures show a noticeable difference in the projection of the ears from the back. The before and after pictures are presented 1 month post procedure.