One of the most common mistakes in Otoplasty is the exaggerated removal of the skin behind the ear. On many occasions it is not necessary to remove any amount of retroauricular skin but, to this day, there are still many surgeons who believe that they should systematically remove skin in all cases that operate and then, when closing the wound, the ear remains too folded and misshapen.
Sometimes, when trying to bring an ear with a large shell closer to the head, only by folding the fold of the Antehelix with Mustardé sutures, an unnatural result is obtained in the frontal view.
It is extremely important, before surgery, to assess, study carefully and identify all the elements of the ears that cause their malposition, in order to later reposition and shape them in a natural and aesthetically pleasing way.
Solving these problems can be very complicated, and only a very experienced surgeon can try to improve the results of a previous otoplasty by means of a Secondary Otoplasty.