In my practice the ratio children versus adults is 60/40. For children I recommend to wait with surgery until they are 7 to 8 years old. Before that age the ears will not have fully grown yet. Young children’s cartilage is thin and vulnerable, which makes the operation more difficult: a good reason to postpone the treatment. There is also a physiological reason to wait. Teasing is not a factor at a very young age and besides that it is preferable to enable the child to have a voice in making the decision about the ear correction.
Because plastic surgery is more commonly accepted nowadays, adults increasingly choose to undergo an ear correction. For this group too it is a treatment that is worthwhile.