Incisionless Otoplasty surgery for lop (protuberant) ears has evolved through three major steps in technique since its inception in 1992. Improvement was seen with each progressive technical advance. The previously published 2.0 version of 2004 has undergone evolution to streamline placement of the percutaneous retention sutures. The new 3.0 version technique greatly reduces the number of operative steps required. In this article, technical instructions for the 3.0 version are explained, and multiple applications of the 3.0 procedure and the 2.0 are illustrated.