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There are two primary treatment options for individuals with microtia:
Surgical Ear Reconstruction (using cartilage or synthetic material)
3D Ear Prosthesis (made from medical-grade silicone)
Both methods aim to restore the appearance of the outer ear and improve self-esteem. However, the right option depends on the patient's age, anatomy, preferences, and overall health.
Surgical ear reconstruction is typically performed between ages 6–10.
Cartilage Technique:
The patient’s rib cartilage is harvested to create a natural-looking ear.
This method requires multiple surgical stages.
Medpor Technique:
A porous polyethylene implant (Medpor) is shaped into an ear and covered with skin.
Can be performed at earlier ages (3–5 years).
✅ Advantages:
Permanent solution
Uses patient's own tissue (cartilage method)
Highly natural appearance
Long-term durability
❌ Disadvantages:
Requires surgery and anesthesia
Risk of infection or cartilage resorption
Rib scar may remain
A 3D ear prosthesis is a custom-made external ear designed using 3D printing and medical silicone. It is ideal for older teens and adults who prefer a non-surgical option.
✅ Advantages:
No surgery required
Fast application
Realistic aesthetic results
Easy to remove or replace
❌ Disadvantages:
Needs daily care and cautious handling
Magnetic or adhesive systems may loosen
Not a permanent fix
Possible skin irritation
| Criteria | Surgical Reconstruction | 3D Ear Prosthesis |
|---|---|---|
| Recommended Age | 6 years and up | Typically 10+ |
| Requires Surgery? | Yes | No |
| Durability | Permanent | Semi-permanent |
| Aesthetic Result | Very natural | Highly realistic |
| Risk of Complications | Moderate | Low |
| Time to Apply | Several months (multi-stage) | 1–2 weeks |
The best treatment plan should be based on:
Age and physical development
Medical eligibility for surgery
Emotional readiness
Family and patient expectations
Preferred aesthetic outcome
A personalized consultation with a microtia specialist is key to choosing the ideal method.
Does a 3D ear prosthesis look real?
Yes. When custom-made, it closely matches the color, size, and texture of the real ear.
Can a surgically built ear change shape over time?
It’s permanent if done correctly, but trauma or infection may affect the shape.
Is it difficult to wear or remove the prosthesis daily?
Not at all. Adhesive or magnetic systems allow for easy and secure usage.
Interested in learning more about 3D ear prosthesis or surgical ear reconstruction? Contact us today to book your free consultation.
