Some surgical procedures in local anaesthesia can be also provided in complete anaesthesia at client's request, in case the client's condition allows the particular kind of surgical procedure.

Large, protruding ears can have a devastating effect on self-esteem, especially for children and young adults. Ear pinning, or otoplasty, is a surgical procedure that can change the size and shape of protruding or overly large ears. Otoplasty is usually performed between the ages of five and 14, but it can be performed on adults as well.

During the otoplasty procedure, an incision is made behind the ear and excess cartilage is removed. The remaining cartilage is "pinned" into place with sutures and left to heal. In some cases, some cartilage may need to be reshaped before the ear is repositioned. After the procedure is complete, the ears are bandaged to protect their new position and shape.

Otoplasty is performed under anesthesia and takes one to two hours to complete.

Side effects of otoplasty include swelling and bruising, but they usually fade away within a week. Discomfort is mild and most normal activities can be resumed within a few weeks.