How it works
Everything starts with a consultation. Your surgeon will listen to the reason your ear is missing or damaged, examine the ear and the tissue around it, and take measurements and photos to compare both sides. If you also have reduced hearing on the same side, your surgeon may work with an ear, nose, and throat specialist to discuss hearing on its own. That is a separate matter from shaping the outer ear. Together, you and your surgeon will agree on how many surgeries to expect and how far apart they will fall.
Total Ear Reconstruction is usually done in several stages, each a few months apart. The surgery is typically performed under general anesthesia (you are fully asleep for the whole operation). The exact type of anesthesia is decided by your anesthesiologist based on your health.
In the first stage, your surgeon builds a framework for the ear. This framework can be carved from your own rib cartilage (taken through an incision on the chest) or made from a medical material designed for this purpose, depending on the approach your practice prefers and on your own anatomy. The framework is placed into a pocket of skin at the site of the ear and shaped to follow the natural curves of an outer ear.
Later stages refine the result: lifting the ear away from the head to create projection, building the earlobe, forming the hollows and contours, and sometimes adding a skin graft for coverage. Your surgeon will explain each stage beforehand, with the aim of rebuilding an ear that matches the other side in size, position, and shape.