Background: Otoplasty is mostly performed for cosmetic reasons, and it has been observed that people who have undergone the procedure may experience a minor reduction in their hearing compared to those who have not. The surgeon's goal should be nothing less than perfection in terms of aesthetics. Improving upon one's own efforts necessitates reflective self-analysis. Otoplasty is normally successful, and the surgeon and patient are pleased with the results, but occasionally there are complications. Objective: assessment of aesthetic results and complications in otoplasty. Methods: We scoured medical publications and databases including PubMed, Google Scholar, and Science Direct for information on otoplasty, complications and management between December 1995 and February 2022. However, only the latest or most comprehensive study was considered. The authors also assessed the usefulness of references drawn from similar books. As a result, non-English documents have been overlooked due to a lack of resources to translate them. It was commonly recognized that scientific research did not include things like unpublished publications, oral presentations, conference abstracts, or dissertations. Conclusion: Fortunately, otoplasty problems are infrequent and can usually be avoided with careful planning, execution, and follow-up care on the part of the surgeon and patient. The surgeon needs to be well-versed in potential problems, capable of providing accurate pre-operative risk assessments, and comfortable managing any hazards may develop during surgery.