Elevation or “Lifting” of the Ear

Dr. Bonilla’s Elevation “Wedge Technique” and Skin Graft Placement

Length of Surgery: Approx. 1 1/2 hrs.
Length of Hospital Stay: Goes home the same day

Dr. Bonilla has developed a unique elevation “Wedge Technique” that has been a tremendous success with the protrusion of the new ear. Approximately 2 months after the earlobe is created, the elevation or “lifting” procedure is begun. This consists of a very ingenious technique for elevating the newly formed ear using the child’s own tissue and then placing a skin graft on the undersurface. This new technique does not require the use of a foreign body implant. The full-thickness skin graft is taken from the inguinal area. The graft site is hidden (under the bathing suit or underwear region).

microtia
The ear now has excellent protrusion. Note that there is no color difference on the ear because there is no skin graft on the visible part of the ear.
microtia
This is another example of a patient with microtia after the elevation procedure. Note that there is no color difference on the ear because there is no skin graft on the visible part of the ear.
microtia
This is yet another example of a patient with microtia after the elevation procedure. Note that there is no color difference on the ear because there is no skin graft on the visible part of the ear.

 

microtia

With Dr. Bonilla’s wedge technique, the ears protrude equally using the child’s own tissues and not a foreign body implant.

Post-operative Instructions

The patients go home with pain medication as well as antibiotics.

The ear dressing and the sutures are removed around 10 days after surgery.

The skin graft site dressing in the middle groin area is left intact until if falls off on its own.

Contact sports are avoided for about 4 weeks.

The hair may be washed a few weeks after surgery.

The final stage may proceed approximately 2 months later.