If the patient has very big earlobes a wedge might be excised.
Dental feminization
In a patient with healthy teeth this would involve orthodontics, prosthetic dentistry making crowns, and maybe even orthognatic surgery. For most patients this would be far too extensive treatment for the relatively small feminizing effect it would have.
In patients wearing full dentures, or patients with a desolate natural dentition, a feminizing effect can be achieved by new dentures or fixed bridges on implants.