In cases of protruding or over-developed ears, the procedure of otoplasty may be an option. Otoplasty is commonly referred to as "pinning back" of the ears. It is available for children once their ears have stopped developing around the age of six. Over-developed ears can be the cause of psychological stress and trauma and should be treated at a young age before it becomes a serious issue. Drs. Thomas, Hackenberger, Alamat, Kraemer, Orzech, and Osguthorpe are trained in several surgical procedures that eliminate the majority of the problems related to protruding ears.