Prominent ears, typically due to underdeveloped antihelical folds or conchal hypertrophy, are a common congenital deformity with psychosocial impact. Otoplasty techniques are broadly categorized as cartilage-sparing (e.g., Mustardé) or cartilage-modifying (e.g., Furnas), selected based on individual anatomy and age, typically performed between 5 and 7 years. Surgical correction involves retroauricular access, cartilage reshaping or repositioning with non-absorbable sutures, and meticulous intraoperative symmetry assessment. Anatomical landmarks and auricular dimensions guide correction, aiming for natural contour and facial harmony. Postoperative care includes compression dressings and night splinting to ensure stability. Complications are rare but may include hematoma, infection, or hypertrophic scarring. Long-term outcomes are favorable, with high patient satisfaction when technique and expectations are properly aligned.