Figure 9: Multi-staged auricular reconstruction after total amputation with severe scarring of the retroauricular skin using rib cartilage and local skin after pretreatment with skin expansion. a: preoperative situation; b: implantation of skin expander; c: situation after 10 weeks of skin expansion; d: auricular framework constructed out of rib cartilage; e: situation after implantation of the auricular framework at end of 2 nd step.