For these patients, if the skin of the area to be used for ear construction is sufficient and there is no circulation problem, the old, malformed cartilages are removed and a new ear reconstruction can be performed in two stages. In patients with skin problems but intact regional vascular structures, a membranous structure called the superficial temporal fascia, located under the scalp above the ear, can be used to provide blood supply of the new ear by wrapping over the framework made with cartilage taken from the patient or the parents. The structure called superficial temporal fascia, which is vital in this approach, provides blood circulation and nutrition for both the cartilage and the outer skin cover. Of course, creating the auricle by bringing together three such complex tissues is a real challenging procedure, and there is a risk of partial or complete loss of the auricle as a result of cartilage melting and joint decay after circulatory failure. Skin cover due to unmeasurable factors. All these risks make patients who come to us after unsuccessful surgeries one of the most difficult issues to deal with in the field of ear reconstruction. However, you do not need to despair, as we have experience in patients who come to us and have successful ear reconstructions in this case. Dr. Mutaf decides which method will be applied in such cases, after meeting face to face with the patient and his family, about the possibilities that will be suitable for the patient.