An alternative to the various ear pointing procedures that can give a person an entirely different sort of anatomical self-expression is using an implant to augment the outer helix ridge/fold of the ear. In this example, Pablo Perelmuter (pabloperelmuter.com) of Buenos Aires, has placed a what looks like a set of four beads but is actually a single 6mm silicone bead string manufactured by Steve Haworth — using a single piece like this ensures there will be no shifting and the placement will stay perfectly spaced (and they’re quite soft and don’t tend to bother the wearer even in such sensitive placements). Pablo says that the procedure went well, although it became quite swollen initially. These healed pictures were taken at eight months.
Edit/Update: I should add that this implant ended up being removed two years later, because the person it’s on was in nursing school and had some concerns it could affect their career options negatively. The removal procedure was fast and simple. I really hope that people considering body modification procedure always have an “exit strategy”, because it’s quite common for life to change and for one to find oneself needing to “normalize” ones appearance — this is one of the reasons I worry so much when I see teenagers getting irreversible and socially daring procedures like eye tattoos.