For the correction of abnormal edges and contours, the usual recommendation is to lift the ventral skin over the defect and cover the crease with temporal fascia or preserved material.8 In our experience with such methods, at most a short-term improvement is achieved. Over time, the fascia atrophies, and the crease reappears. A lasting correction of these usually very disfiguring edges is achieved if, through a dorsal incision, the ear cartilage is exposed over the whole affected area and freed from the existing scars. After identifying the incision edges in the cartilage that are causing the visible crease, the incision is reopened, and the ventral skin in the immediate vicinity is detached over a width of about 5 mm, parallel to the cartilage defect. If the cuts in the cartilage are irregular, they are straightened, then readapted in the originally anatomically indicated position, and closed with a long-term, absorbable suture (eg, MAXON, United States Surgical Corp). The configuration of the ear cartilage is thereby restored to its original shape. We have therefore not found it necessary to use conchal cartilage grafts for camouflage.10 The original restoration of the ear cartilage will, in most cases, cause the auricle to stick out too much, as it did before the first operation. This is determined by intermittent intraoperative measurement of the distance of the helical rim from the skull using Wodak's method.11 If the measurement of distance (by a 1-sided measurement or by comparison with the other side) indicates that correction is needed, a revision otoplasty procedure for folding the auricle is made on the repaired ear during the same operation. In this revision situation, however, a pure suture technique without incision to the cartilage is chosen so as not to cause further weakening of the repaired cartilage. Therefore, the antihelix is folded by sutures according to Mustardé's method.3 The suture material is usually expanded polytetrafluorethylene (GORE-TEX, W. L. Gore & Associates). If necessary, an approximation of the cavum conchae to the skull is performed, as described by Goldstein12 and Furnas,13 and/or correction of the earlobe position is achieved by using a suspension suture following the recommendations of Siegert et al.14 All of the surgical steps for otoplasty in the repaired ear correspond to the procedure in a primary case. Closure of the wound is performed without any skin resection. Postoperative dressing with ointment and cotton swabs is removed after 2 days (Figure 1 and Figure 5).