Ear reconstruction is one of the most challenging procedures in plastic surgery. Every year, patients from all over the country come to our specialist clinic with failed ear reconstruction. The second surgery after a failed or unsatisfactory ear reconstruction is more difficult and has increased surgical risks, but we have treated them successfully. Figure 1 Three years after the reconstructive surgery at an outside hospital, the patient felt that the reconstructed ear was not in good shape and requested a second surgery. Figure 2 Before earlobe revision and nail cavity deepening after reconstructive surgery. Figure 3 After reconstructive surgery