Prominent ears are a common congenital deformity of the external ear with an incidence of 5%. Over 200 otoplasty techniques have been described in the current literature. The anterior scoring technique of the ear cartilage is the most commonly used method. However, this technique has many complications as hematoma, skin necrosis, chondritis and irreparable cartilage irregularities. The aim of this study is to evaluate a combined otoplasty technique depending on scoring of the ear cartilage on its posterior surface. Thirty six patients with prominent ears were managed with this technique with very good results in (83.35%) and good results in (16.65%), there were no major complications, but only few minor complications, and patients were very satisfied in (94.45%) and satisfied in (5.55%).