The double incision otoplasty that Dr Perry at Chrysalis Cosmetics in Sacramento California uses allows for correction of all the subtle and obvious abnormalities and often allows for a more natural appearing result. Prominent ears are often the result of excess cartilage growth of the conchal cymba and cavum. Abnormalites of the triangular fossa and helical rim also exist as well. There may also be a component of antihelical rim widening as well. In some circumstances there may also be a widening of the concha-mastoid angle that can be corrected as well.