Abstract
The published methods for surgical correction of lop and cup ears are numerous. Surgical techniques must restore the helix overhang, raise and lengthen the helical arch and correct the protrusion, if it exists. Some authors try to add cartilage and skin to correct the deformity. We believe that, except in the most severe cases, there is no real reduction in size at the upper third of the lop and cup ears. In moderately and severely constricted ears, expansion of the upper pole of the ear by a double, opposite directed, Z-plasty, based on Hinderer's technique, provides predictable and safe results and has proved to be easy to apply to each patient.
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