Prominent ears are a fairly common and emotionally charged facial variation. Both children and adults may suffer a damaged psyche secondary to outside ridicule and self-criticism from ears that “stick out.” The external ear anatomy is intricate, with thin skin and resilient cartilage. These underlying characteristics make the ears prone to the overt display of surgical correction. This article details the various acute and chronic complications of otoplasty and includes tips and pearls to help prevent and treat these occurrences.