Concha and Anthelix Repair sculpture matches the cartilage and skin elements.

This patient's ear had a good average projection from the scalp. A back wall reduction would bring the back of the ear too close to the head. Macrotia otoplasty requires a selection of the right techniques for each patient.

Photograph concha ear cartilage repair during macrotia otoplasty

Photograph as the repair continues up the back wall of the conchal bowl.

Sutures mold the conchal bowl reapproximating the cartilage along a natural ridge. This can sometimes require some fine shaping of the cartilage starting from the front and working towards the back.

Photograph of macrotia otoplasty with redundant skin held out of the way during anthelix sculpture.

Macrotia otoplasty photograph of the upper anthelix as it is sculpted to match the lower part of this cartilage.

As the antihelix is restored, there can be a difference between a larger upper section and a smaller lower part that requires transition. Sometimes it requires sutures behind the upper ear increasing the fold for the match. To look at before and after pictures of this patient, start here.