Skin Cancer Surgery · Ear
Skin Cancer · Reconstruction by site
Ears collect decades of sun and are a favourite site for both BCC and SCC. Repairing them means rebuilding a complex, cartilage-framed structure that has to hold glasses, hearing aids and its own shape.
The challenge
The ear's skin is thin and tightly bound to its cartilage framework — there is no spare tissue to borrow locally, and exposed cartilage will not accept a simple graft. Repairs must respect blood supply, keep the helical rim smooth, and preserve the ear's projection from the head.
Techniques
Ear reconstruction is generally performed under general anaesthesia; sedation or, in selected cases, local anaesthetic alone may be appropriate. Glasses and hearing aids can usually be worn again within a few weeks, and Dr Kim plans around them.
Common questions
After a wedge excision the ear can be slightly smaller, but it keeps its natural shape — a difference rarely noticed by others, especially as ears are seldom seen side by side.
Usually within a few weeks, depending on the repair site. Tell Dr Kim what you wear at consultation — it genuinely influences the reconstructive plan.
Grafts need a vascular bed. Bare cartilage doesn't provide one, which is why flap techniques are often needed on the ear.
Discomfort is usually modest and well controlled with simple analgesia; most patients are surprised how manageable recovery is.
Related
Next step
Consultations in Sydney CBD and North Sydney. Referrals from GPs, dermatologists and Mohs surgery specialists welcome. Email surgery@drleokim.com.au.
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