This one many.years ago when I decided to fix my ears. They were a little open and I didn't like them since I was a kid. I searched and I found this Dr Macaya. He explained it was pretty easy procedure. He got only my ears numb and partial sedated. He did it in his location with is not a hospital, it was just a room. He only saw my ears like a rip piece of fabric. Obviously didn't work and he told me to cut the thread by myself. I wish a sue him to get my money back. I won't never recommend this Dr and after I heard no good stories about him. A real Dr would cut the cartilage and total sedate me like another Dr did. Thank God I didn't go for something major.