What is the ruling on cosmetically enhancing large and protruding ears that cause psychological distress, embarrassment, and lack of self-confidence?

Nose reduction surgery is permissible if it is for the removal of a defect or disfigurement. It is not permissible if it is merely for improving appearance and beautification. The Prophet, peace and blessings be upon him, cursed those who created spaces between their teeth for beauty. He permitted a person whose nose was cut off to use a nose made of gold. Therefore, whatever is for the removal of a defect is permissible, and whatever is for increasing beauty is not permissible.