Before and after 2 stage repair of right ear microtia. Microtia surgery is unique to every patient. instead of creating the same ear on each microtia patient we create one that best matches the patients other ear, using their own rib cartilage. This is one of many reasons that rib cartilage microtia repair is superior to using a pre-fabricated medpor ear .The symmetry of the reconstruction is what differentiates a good reconstruction from a great reconstruction. The symmetry can best be appreciated by comparing side-by-side images of the 2 ears before surgery (top photo) and of the 2 ears after surgery (bottom photo).