Bi-lobar post-auricular skin flap for reconstruction of the earlobe

Introduction: Ear lobule deformities can occur as a result of trauma. Surgical reconstruction can be challenging. There does not appear to be a consensus on the best form of repair. We report the case of a 27-year-old woman who suffered traumatic loss of the ear lobule during childhood. A novel technique is described using a posterior based bi-lobar flap to completely reconstruct the ear lobule in two stages. Discussion: This form of repair has the advantage of a well-hidden scar, with the donor site providing skin of similar thickness and pigmentation.