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Ear Deformities – Standard Rib Cartilage Method: Stages to Correct Microtia

For most patients, completing the ear reconstruction takes four stages. These steps are spaced 2-3 months apart to allow for healing. Most patients do not experience any significant ear discomfort with any of the stages. Blood transfusions are not required.

  1. Stage 1 Rib Graft
    Ear DeformitiesHospital stay—two to three days.
    Return Visitseven days after surgery.
    Age for Surgery5-6 years old optimal, but any age afterwards. Head bandages for ten days.

  2. Stage 2 Earlobe
    Ear DeformitiesHospital Stayoutpatient and discharged same day.
    Return Visitstitches removed after one week.
    Timing of Surgeryminimum two months after Stage 1.

  3. Stage 3 Elevation or Lifting
    Ear DeformitiesHospital Stayoutpatient and discharged same day.
    Return Visitone week after surgery.
    Timing of Surgeryat least three months after Stage 2 completed.

  4. Stage 4 Tragus & External Canal
    Ear DeformitiesHospital Stayoutpatient and discharged same day.
    Return Visitone week after surgery.
    Timing of Surgeryat least three months after Stage 3 completed.

Additional Surgery for Bilateral Microtia — Double-sided Ear Problem

Bilateral microtia involves two ears, instead of one. Only ten percent of all microtia cases are bilateral. Dr. Jones integrates the reconstruction of the two ears such that work on both ears is performed in parallel, minimizing any delays while not allowing the two reconstructions to interfere with one another. The second ear reconstruction can be started as early as six weeks after the first rib graft surgery has been completed. Two months after the latter Stage 1 (i.e. second ear rib graft) surgery, both ear lobes can be positioned simultaneously at one surgical setting. Then, after three months, the ear can be separated from the head (Stage 3), followed by the other side six weeks later (Stage 3 for the second ear). Depending on the case, Stage 4 is completed six weeks after Stage 3 for the first ear, and another six weeks later for the second ear. At certain cases, Stage 4 is not necessary. In conclusion, the time elapsed for completing bilateral microtia surgeries is about a year.

Restrictions after Surgery

Children are restricted from playing sports for 4-5 weeks; teenagers and adults for 6 weeks. Children are restricted from playing sports for 4-5 weeks; teenagers and adults for 6 weeks. This is not done so much for the ear as for the chest wound. It is important to allow sufficient time to heal before the patient resumes running, jumping, bicycling, or swimming. Once back to playing sports, the patient can play with no special protection and can participate like anyone else in most activities. The ears constructed by Dr. Jones are made out of the patient’s own living tissues and can tolerate bumping and trauma like a normal ear. However, unusually traumatic activities such as boxing are discouraged. During activities when the patient wears a helmet (such as motor cycling or football), it is best to make necessary adjustments to the helmet to ensure it fits the new ear properly.

Middle Ear Surgery — The Hearing Surgery

The purpose of the middle ear surgery is to improve hearing. It is important to complete the outer ear surgery before beginning the middle ear surgery. If the middle ear surgery were to be done first, the scarring from it would make it more difficult to reconstruct an external ear. surgery. Dr. Jones is unique in his field of external ear reconstruction, because he also has extensive background in middle ear surgery. Dr. Jones spent four years in training at Johns Hopkins for middle ear surgery and is board certified in ENT (Ear, Nose, and Throat Surgery). This unique training in both the internal (hearing) and the external ear allows him to work intimately with the referring Otologist (middle ear expert) in planning the total reconstruction effort so that the external ear reconstructive surgery does not compromise (and vice versa) the middle ear surgery.

Other Congenital Deformities

The range of congenital ear deformities is immense—from gigantic ears to miniature ears, from wide to narrow, from lack of folds to lack of earlobes. The cup ear, lop ear, lidded helix, canoe ear, cockleshell ear, and constricted ear are all different variations of ear deformities. Most can be corrected, or at least improved upon, with surgery. All repairs are customized by Dr. Jones to best suit the deformity and have to be individually assessed.

Dr. Jones’ Innovative Microtia Repair And Ear Reconstruction Techniques:

Contact us today for consultation with Dr. Mark Mitchell Jones and to determine if this innovative procedure is right for you or a member of your family.

Atlanta Plastic Surgery Specialists, P.C.

Our Patient Reviews

4.9 / 5.0

Based on 19 reviews

Kizma Hampton

Dr. Jones is the BEST!!! The staff is also great too. They are always friendly and welcoming. I am so happy that I chose him. I had liposuction and a tummy tuck done. I am amazed at my new body. I chose him because of his experience and he is the best plastic surgeon in Atlanta, Ga. My surgery experience was great I love the no drain technique that he does. I feel confident and beautiful. And my new look is wonderful and I couldn't be happier. And it feels great to get compliments from my family and friends because they love my new look as well!!!

Anne Jones

Why did I look sad when I was not? When I saw my “normal” facial expression in the mirror, it just looked worn out. I did not like it for I did not feel like that on the inside! Dr. Jones changed it! After Dr. Mark Mitchell Jones did my eye lid surgery, I feel great about seeing myself in the mirror again. None of that loopy, tired look anymore! My only regret: I should have done this earlier. Creams do nothing to remove the wrinkles and the sagging eyelids that accompany getting into my late 40s. I feel refreshed in the face, and it affects my inside every time I look in the mirror or see a photo of myself. Dr. Mark Mitchell Jones did a fabulous job. He did not go overboard, he did it just right. He had the expert touch from the beginning to the end. Trusting my doctor is most important to me, and if I do this surgery again in ten years, I will just let him decide what can be done to achieve a more refreshed, happier look. It pays to let experience bear. It is my face. No scars. No sagging eyelids. Even the wrinkles around my eyes went away. Thank you, Dr. Jones and your wonderful staff.

Deidre Bagley

The BEST decision I have ever made! Dr. Jones' bedside manner is remarkable, his staff is caring and made me feel individualized. I didn't want a factory line breast augmentation, so I researched surgeons and Jones stood out above the rest due to his expertise, study, knowledge, and specialized techniques. And that is what I wanted when I came to my body. My desired results were achieved with my health being priority. Surgery and recovery went without a hitch. Friends and family, some who have had the same procedure themselves, call his work exceptional!!

Bruce Moyer

First I want to say what a great group of assistants Dr.Jones has working for him. They are professional, efficient and organized. All of them are nice and will work closely with your schedule. As for Dr. Mark Jones you can find a better doctor he is "Magical" when it comes to surgery. I'm in my third stage of microtia and every surgery he's calm and reassuring that everything will turn out. He does what he says he going to do, and accurate on what the turnout will be. If I had to go through this again I wouldn't go to anyone else. Thank you Dr. Mark Jones.

Natalie Kramer

Dr. Mark Mitchell Jones is an incredible doctor! Not only is he highly credible with extensive knowledge in the field, he has great bedside manner. He and his staff made me feel calm and prepared for my surgery and answered all questions I had. I am so happy I chose Atlanta Plastic Surgery Specialist to fix my nose, they did an incredible job and I have never felt better or more confident.

Celeste Temple

As a patient it's a fantastic experience. I'm so thrilled with my results and recovery was a breeze. I feel that his technique and his kind nature sets him apart from other surgeons. The outcome exceeded my expectations. As an employee I'm beyond grateful to be able to work for such a considerate, experienced physician.

Deigh Frost

My experience with Atlanta Plastic Surgery Specialists was really great. I liked Dr. Jones from the minute I met him. He answered all my questions and took any time necessary to explain everything to me about surgery options. He is friendly and professional and he and his staff made me feel at ease immediately. Surgery was a success and I am thrilled. I would recommend Dr. Mark Jones and his staff to anyone.

Amanda Sweeney

Working with Dr. Jones is truly a pleasure. It is a noticeable difference how much he cares for each individual patient, taking time to listen to their questions, concerns, and goals. His experience is unmatched and he helps each patient create a treatment plan that matches their desired outcomes.