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4 year old boy with right grade 3 microtia/atresia.
There is no surgical canal.

Result is 6 months after 1st stage surgery and 3 weeks after a minor revision.

3 year old girl with left grade 3 microtia/atresia.
There is no surgical canal.

Result is 5 months after one surgery.

5 year old boy with right grade 2 microtia/aural stenosis and hemifacial microsomia.
It was very challenging to create symmetry in this case due to the unusual anatomy: the canal is very low compared to the normal side and he was born with no earlobe.

Result is 3 years after 1st stage and 5 months after 2nd stage.

5 year old boy with right grade 3 microtia/atresia.
There is no surgical canal, the appearance of a canal is created by Dr. Lewin’s technique.

Result is 8 months after one surgery.

3 year old girl with right grade 3 microtia/atresia.
Since she is so young, the PIER ear is larger than her natural ear, which will “catch up” when she is about 8 years old. The family did not want canal surgery.

Result is 8 months after one surgery.

10 year old boy with right grade 3 microtia/atresia and right hemifacial microsomia. There is no surgical canal.

Result is 10 months after one surgery.

7 year old girl with right grade 4 (near-anotia) and hemifacial microsomia.
Very challenging case because the symmetric position of the ear was almost entirely in the hair-bearing scalp.
The family did not want a surgical canal.

Result is 7 months after one surgery.

5 year old boy with right grade 3 microtia/atresia.
He had an atresia repair before his ear reconstruction.

Result is 15 months after the 1st stage and 6 months after a revision surgery

5 year old boy with left grade 3 microtia/atresia and right grade 2 microtia/aural stenosis.He had a right atresia repair. Dr. Lewin did bilateral Lewin Ear Implant reconstructions and a left magnetic BAHA. Only one surgery was performed on each ear.

Results shown are 9 months after the left PIER surgery but only a few months after the right PIER surgery.