The costs of ear reduction surgery, or macrotia surgery, can be considerably higher than otoplasty ear pinning. One of the reasons for the higher costs is based on the fact that scapha ear reduction surgery is not performed nearly as commonly as traditional otoplasty ear pinning surgery. In addition, the surgery can often times be much more complex than traditional ear pinning surgery. Furthermore, there just aren’t that many plastic surgeons out there performing scapha ear reduction surgery. Therefore, there is somewhat of a premium you can say in terms of pricing.