Microtia reconstruction is a complex procedure aimed at restoring both the appearance and, in some cases, the function of the ear. Two of the most commonly used methods for ear reconstruction in microtia patients are rib cartilage reconstruction and Medpor (porous polyethylene) implant reconstruction. Each technique has its advantages, challenges, and considerations based on the patient’s specific needs.Rib cartilage reconstruction has been a traditional and time-tested method for creating a natural-looking ear.