The patient galleries below show before and after pictures of Dr. Lewin’s patients organized by the type of microtia each child has. Although all of these patients have had the same operation (Medpor ear surgery), there are differences in their “starting points.” The goal is for each family to see how their child’s “little ear” relates to the results that can be anticipated after surgery. For example, Grade 4 microtia (or anotia) is the most challenging type because there is no “little ear” that can be used to help create the new ear.

All of the patients in the galleries are shown from multiple angles and compared to the opposite ear in order to have a realistic idea of what the surgery looks like.  If a microtia ear is only photographed from the side view, it is impossible to determine how symmetric the ear is in height, shape and projection compared to the normal side. Children with bilateral microtia offer a different but equally challenging goal: to make both ears as natural and equivalent as possible.

Click  each picture below to view it’s corresponding gallery.

Grade 2 Microtia Gallery Grade 3 Microtia Gallery Grade 4 Microtia Gallery Bilateral Gallery
Part of the ear looks normal, usually the lower half. There may be a normal or a small canal. A small remnant of  “peanut-shaped” skin and cartilage. There is no canal
(called aural atresia)
Complete absense of both the external ear and the canal (also called “anotia”) Bilateral microtia involves both ears. It can be seen with any combination of microtia grades.