Otoplasty incisions are placed behind the ear in a vertical fashion. There are no incisions on the front of the ear, but there may be some redness of the auricle for several days. Because the incisions are placed on the back side of the ear, I have not found this to be a problem in any of my otoplasty patients. Once adequate healing has taken place, you should be able to wear your hair in a ponytail without concern for visible scarring.