Cupped ear is a congenital deformity that is intermediate between the ear and microtia, accounting for about 10% of all congenital ear deformities. It is more common bilaterally, but not always symmetrically, and has some heredity. There are four main characteristics of cup-shaped ears: the auricle is curled, or in mild cases, the ear chakra folds over on itself, or in severe cases, the entire auricle hangs down and covers the opening of the ear canal. The auricle is tilted forward, which is also known as a “windy ear”, but differs from the simple windy ear deformity. The auricle becomes smaller, mainly because the length of the auricle becomes shorter. The low position of the auricle is more pronounced in severe cases and is often associated with jaw and facial deformities. Cup ear deformity has a greater impact on the appearance and can affect the wearing of glasses. Therefore, surgery is usually required. In cases where the auricle droops and covers the external auditory canal, early surgery is recommended to avoid affecting hearing. Generally, surgery can only be performed after the age of 6 years and can be done bilaterally in one operation. In cases with severe maxillofacial deformities, a comprehensive treatment plan should be developed in a holistic manner. Contraindications to cupping otoplasty: Scarred individuals should not undergo surgery.