Adult otoplasty patients are among the most enthusiastic plastic surgery patients of all. Women will say that they have always wanted to wear their hair back but never could because of their ears. Many women mention that the tops of their ears protrude through their hair even when their hair is back. Men are even more bothered by prominent ears than women, perhaps because their shorter hair makes them harder to conceal. And there is probably a psychological component as well. Much as a strong jaw his associated with masculinity, wide ears are associated with a childlike, less mature, or less serious personality. Of course many people with prominent ears are taken seriously (President Obama, to name just one.) But some people with prominent ears may feel that beyond just affecting their physical attractiveness, their prominent ears may be inhibiting their ability to gain the confidence of and respect from others.