There are no alternatives to otoplasty, trust me, I've researched this. I went so far as to try this little plastic clip that pins your ears back for a few hours each day, with no results. turns out it only works on children as their cartiledge is still forming, whereas adult cartiledge is already formed, and not malleable,
Sooo I had otoplasty. Exactly a week ago. Best decision i ever made. And i live in the midwest as well, Chicago, to be exact, found the best surgeon who specialiazed in otoplasty. I have never been happier. So go for it, you're clearly aware there are no other alternatives as you have researched it, so your best bet is to grab life by the ....

and go for it !