1. Otoplasty by percutaneous anterior scoring
Otoplasty by percutaneous anterior scoring. Another twist to the story: a long-term study of 114 patients 
N.W. Bulstrode, S. Huang, D.L. Martin 
British Journal of Plastic Surgery 
Volume 56, Issue 2, Pages (March 2003)
DOI: /S (03)

2. Fig. 1
The bending of the green hypodermic needle. A green needle is grasped by a clip half way along the bevel (top left), bent through 70° (top right) and then twisted through 90° (bottom left). The cartilage scoring blade (bottom right).
British Journal of Plastic Surgery  , DOI: ( /S (03) )

3. Fig. 2
Needle insertion into the local anaesthetic puncture sight and advanced with the blade parallel to the surface of the cartilage. The blade is then turned through 90° and withdrawn to score the cartilage. This cycle is to adequately soften the cartilage.
British Journal of Plastic Surgery  , DOI: ( /S (03) )

4. Fig. 3
A double pulley Mustarde type stitch (5/0 nylon) is placed in the desired position. This allows for very precise tightening and accurately controls the degree of folding of the antihelix.
British Journal of Plastic Surgery  , DOI: ( /S (03) )

5. Fig. 4
The minimalist otoplasty dressing. The cavum concha, cymbum concha, scapha, triangular fossa and the retro auricular sulcus are packed with cotton wool and a tailored piece of mefix is placed over the ear and the pre and post auricular skin.
British Journal of Plastic Surgery  , DOI: ( /S (03) )

6. Fig. 5 The age and sex distribution of the 114 patients.
British Journal of Plastic Surgery  , DOI: ( /S (03) )

7. Fig. 6
A before and after series of a 17-year-old female. (A) Marked asymmetry in size and three dimensional architecture between the ears. (B) Post-operative result showing a pleasing cosmetic result.
British Journal of Plastic Surgery  , DOI: ( /S (03) )