Congenital auricular deformities are common in plastic surgery and include a variety of auricular deformities, such as auricular folds, hidden ear, cup-shaped ear, droopy ear, Stahl’s ear, and auricular whorl deformity, which can account for 25-35% of cases in newborns. For the treatment of these auricular deformities, we used to wait until the patient was 6 years old to perform the corresponding ear deformity correction. During my fellowship in the United States, I learned that early non-surgical treatment of congenital ear deformities has been widely and systematically performed in newborns in the United States since 2011. It was found that because of the softness and malleability of the ear, especially in infants within 6-8 weeks, the shape of the ear can be permanently corrected with an orthotic device, and more than 90% of children with ear deformities within 6 weeks can achieve satisfactory results after 6-8 weeks of treatment. The main principle is that the blood circulation has a high level of maternal estrogen and the ear cartilage contains a relatively high level of hyaluronic acid, which decreases with the disappearance of maternal estrogen after 6 weeks. Non-surgical treatment of congenital auricular deformities was first reported by Japanese plastic surgeons in the 1980s, and many more have since done research on the subject. Doctors mostly choose their own materials for correction, mainly dental composites, girdles, tapes, silicone tubes with metal wires, bone wax, etc. There is no uniform orthodontic appliance, so it is not widely and systematically carried out, and is limited to experimental treatment by individual doctors. It was only after the introduction of a set of silicone material ear correction products by the University of Texas Southwestern Medical Center in the United States that non-surgical treatment of auricular deformities became widely available. The indications were mainly for ear deformities without cartilage defects, including beckoning ear, droopy ear, Stahl’s ear, and ear wheel deformity, and the main treatment target was newborns. Although some studies have shown that non-surgical treatment of cryptic ear deformity also has good efficacy, it may be because the incidence of cryptic ear deformity in Western population is much lower than that in Asian population, and the treatment scope of American auricular orthoses does not include cryptic ear deformity. In recent years, our department has gradually carried out early non-surgical treatment of congenital ear deformities, and has developed and improved upon the American Ear Corrector to make the new ear deformity corrector more suitable for the characteristics of ear deformities in the East. The age of onset of non-surgical treatment for auricular malformation is controversial, with many scholars believing that treatment is effective during the neonatal period, while others believe that the maximum age of treatment can be as young as 3-6 months of age, and others have reported partial results up to 5 years of age. Most studies show that the younger the age, the more effective the treatment, with a reported 91% satisfaction rate for neonates and only 33% for children up to 5 years of age. The effective age of treatment also varies between ear malformations. Some studies have concluded that droopy ears and Stahl’s ear deformities are best corrected in the neonatal period, and that the correction of the ear of the ear of the tragus and the hidden ear can be done as late as 6 months of age. The efficacy of non-surgical treatment of ear deformities is related to the patient’s age, degree of deformity, cartilage hardness, and duration of correction, and still requires our continuous clinical observation. At present, due to the lack of knowledge about non-surgical treatment of auricular deformity among doctors of plastic surgery, pediatrics and obstetrics in China, parents of children are not informed in time, resulting in children being seen at an older age, which affects the effectiveness of treatment. Early treatment of aural malformations can avoid the cost and pain of surgery and help to save social medical resources. For ear deformities that cannot be treated early or have poor non-surgical results, ear deformity correction is still feasible and post-operative orthoses can be worn to aid in correction and prevention of recurrence.