Preoperative approach
The complaints and expectations of patients and family members were widely discussed. Anatomical changes were observed and evaluated comparing the two ears: anti-helix non-formation, the concha overdevelopment, the anti-helix upper crux concavity, the earlobe protrusion, the pavilion topography and the auricular cartilage thickness. Consent term was applied and signed to all patients before surgery, as well as standardized photographic documentation.