Pertruding ears are usually caused by the unretracted cartilage in the ears.
It could also be because the concha is too big or a combination of both. In most cases this is a congenital issue. The problem can however be solved.
The ears can be corrected to create a form that is less cup like. By pulling the ears back towards the skull they will get a improved shape, that many customers percieve as more normal.
When treating pertruding ears a small incision is made on the back of the ear. Unretracted cartilages are usually treated by reduction of the cartilages at the front of the ear.
Sometimes it may be necessary to place a couple of sutures on the back of the cartilage and thereby force the ear in to the right position.