Skip to main content

Macrotia Ear Reduction Surgery

Macrotia Treatment

“Macrotia” is a term to describe ‘big ears’, the opposite of the medical term “microtia” which describes small or non-existent ears. A person who feels that their ears are too large to match the rest of their face may have macrotia.

Ears are a very distinct and unique part of us, they give us character and each of us has a unique set that is nearly as exclusive as the unique set of fingerprints that we possess. I certainly wish that everyone could wear their hair up and display their ears with pride and confidence. Unfortunately, so many of us have anxiety or self-consciousness about letting our ears show. There is no bigger testament to this than the hundreds of thousands of views on YouTube videos which tutor people on how to style their hair to be able to hide big ears.

Although each set of ears is unique, there is data that exists on what is considered the ‘ideal normal’ ear size, based on anthropometric studies. These generally accepted measurements are between 5-6cm of height (1.96-2.36 inches) and a width that is roughly 55% of the height or about 2.75-3.3 cm (1.08-1.29 inches). Additionally of the total ear height, the ear lobe can occupy about 2cm. (0.78 inches) Variations from these ‘ideal measurements’ can help us determine a procedure plan when a patient expresses desire to reduce the size of the ears.

The rule that I tell my patients with nearly all cosmetic surgeries, is that when undergoing a procedure for aesthetic purposes you want to make sure that the risks are few and the benefits far outweigh them. It is for this reason, that you should do your research and select a macrotia surgeon who performs advanced aesthetic and reconstructive ear surgeries. The traditional ear reduction surgeries can leave a very unfavorable and very noticeable scar right in the middle of the ear where it can easily be seen. These unfavorable surgeries remove a wedge, the size of the desired ear reduction, from the middle of the ear as depicted in blue in the ‘traditional reduction’ image. Although this sort of surgery may be acceptable for reconstruction after removal of a lesion or a mass that sits in the middle of the ear, it does not leave a favorable scar for a cosmetic ear surgery. That is why I use an advanced and innovative technique for cosmetic and aesthetic ear reduction surgery that hides all scars within the normal lines and curves of the ear. The basic principle of this technique is that the scars are hidden under the rim of the helix (the top curving portion of the ear) so that it is not visible. The portions of the ear that are removed, called the scaphoid cartilage, reduce the size of the ear without visible external scarring. This technique can be seen in the ‘advanced aesthetic reduction approach’. As you can see from the before and after advanced aesthetic ear reduction approach, the technique I use does a beautiful job of reducing the size of the ear with no noticeable incision lines as seen in figure 2 below. For a video depiction of this procedure being performed please visit our YouTube video, however please note that this shows graphic surgical video. You can see the video here.

Please contact Dr. Joseph Rousso if you are interested in ear reduction surgery, ear pinning surgery, otoplasty, microtia, torn ear lobe repair, cosmetic ear surgery, reconstructive ear surgery.

Macrotia Treatment
Figure 1: Traditional Reduction Approach versus Advanced Aesthetic Reduction Approach


before and after photo of ear reduction
Figure 2: before and 1 week after Advanced Aesthetic Ear Reduction Surgery performed by Dr.

Posted on behalf of New York Facial Plastic Surgery

247 Third Avenue #404
New York, NY 10010

Phone: (212) 381-6110

What our patients are saying

  • Dr. Rousso was spectacular. Smart, listened to my issues, asked a variety of thoughtful questions to help identify and resolve my issue. Would absolutely recommend him to others. He was warm and personable and wonderful that he speaks Spanish. J. B.
  • My son had a cleft lip and now he looks like he never had it! Thank you so much! M. T.
  • Dr. Rousso is absolutely awesome! M. Z.
  • He was super kind and mindful of my comfort!!! Highly recc! G. R.
  • Dr. Rousso took his time and answered all of my questions or concerns. S. S.

See all Testimonials

Contact us

If you or a family member need facial plastic surgery or reconstructive surgery for aesthetic or functional issues in New York City, take the time to meet with Dr. Joseph Rousso for a consultation. His extensive education, experience and talent as a facial plastic surgeon cannot be surpassed, especially when it comes to balanced, natural-appearing results. Contact his office in Manhattan to schedule your consultation.

Contact Dr. Rousso

Our Patient Reviews

Joseph J. Rousso, MD FACS

4.9 / 5.0

Based on 32 reviews

Nancy M.

They were very professional from the moment I walked in there. The doctor took the time to understand my pain and was ready to help and did a great job.

Lauren S.

Dr Rousso is patient, listens well and explains thoroughly. He has a warm manner and seems very knowledgeable. I highly recommend!

Joseph T.

Very personable doc – at no point in the appointment did I feel rushed. Great staff, too, and I was seen very quickly.

Cassandra F.

I love visits with Dr. Rousso. Always super nice, patient, thorough, and willing to answer any questions I have.

Lisa K.

Professional, informative, and didn't feel rushed. Was able to diagnose my condition.

Antonio V.

Dr Rousso is an excellent doctor, and my visit couldn’t be more pleasant. I highly recommend him.

Aaron B.

It appears Dr. Rousso diagnosed me both quickly and effectively. My symptoms are already clearing up!

Katherine T.

Dr Rousso gave me a great initial consult and a referral to a sinus specialist.