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

Result is 9 months after one surgery, he went on to have a 2nd stage for minor revisions.

5 year old girl with right grade 3 microtia/atresia.
There is no surgical canal. The skin color and the scars will continue to improve over the next year.

Result is only 4 months after one surgery.

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.