MEDPOR Ear Reconstruction: State-of-the-Art Treatment for Microtia

MEDPOR prosthetic ear

Although there has been a well-established surgical microtia treatment for over 55 years, Dr. John Reinisch saw a need to create a more advanced technique that could provide improved cosmetic results. He also wanted to treat children with less discomfort and at an earlier age. In 1991, he introduced an innovative new technique called MEDPOR® ear reconstruction. Although Reinisch Plastic Surgery is located in Beverly Hills, CA, patients travel from around the world to receive this advanced treatment. During MEDPOR® surgery, Dr. Reinisch creates a polyethylene framework and grafts a patient’s own skin over the structure. The safe, effective technique offers a number of benefits. It is suitable for patients ages three and above. It has also been successful for patients in their 50’s and 60’s.

The MEDPOR Technique

MEDPOR stands for microporous high-density polyethylene implant. This implant is 100 percent biocompatible. Since its introduction 20 years ago, it has been used successfully in over 250,000 reconstructive, cranial, and cosmetic surgeries. Before attaching an implant, Dr. Reinisch will create the MEDPOR ear framework. He will carefully refine it to match the shape and projection of the opposite, normal ear. In this way, he can eliminate the need for a future ear pinning surgery.

Since its introduction 20 years ago, the MEDPOR implant has been used successfully in over 250,000 reconstructive, cranial, and cosmetic surgeries.

Dr. Reinisch will perform MEDPOR surgery under general anesthesia. For optimal patient safety, he works with several pediatric anesthesiologists. Once the implant is in place, he will graft skin over the structure. Typically, he will take this tissue from beneath the patient's scalp, resulting in virtually undetectable scarring. The MEDPOR framework is porous. Therefore, surrounding blood vessels and skin can integrate with the material.

Candidates for the MEDPOR Technique

One of Dr. Reinisch’s primary goals in the creation of the MEDPOR technique was to be able to treat microtia in younger patients. This method is suitable for patients as young as three or four. However, because it requires general anesthesia, children should weigh at least 28 pounds before undergoing surgery. Additionally, patients should be in good health. If your child has a compromised immune system due to a chronic disease, surgery may not be advisable. Dr. Reinisch may reschedule surgery if your little one has a short-term illness, such as a cold or infection.

If your child suffers from aural atresia as well as microtia, there are additional factors to consider. Dr. Reinisch will consider the internal structure of your child’s ear. He will work with an audiologist to determine the likelihood of a successful ear canal reconstruction. If ear canal reconstruction is not possible, your child may still qualify for a polyethylene implant for cosmetic reasons.

Dr. Reinisch describes the many benefits of MEDPOR and other advanced treatments he provides to patients from around the world.

Patient Benefits

MEDPOR ear reconstruction is a single-stage surgery. It boasts numerous advantages over the traditional procedure, leading many experts to believe it is the best surgical option for microtia. Dr. Reinisch may perform ear canal repair before or during MEDPOR surgery. When he addresses aural atresia at an early age, children can experience better hearing at the same time that their peers are processing and learning language. Consequently, they can face a lower risk of developing speech disorders and language difficulties. Moreover, when the doctor corrects the cosmetic aspects of microtia before children start school, they will usually face less psychological distress.

MEDPOR ear surgery

The MEDPOR technique can help children as young as three achieve a normal appearance.

The MEDPOR technique also offers functional benefits over other methods of ear reconstruction. Because the structure will bond with a patient’s own tissue, it is very sturdy. The polyethylene implant can still become damaged, but the risks are the basically the same as injury to a natural ear. As a result, children will be able to participate in the same sports and activities as their friends. The ear will also function almost identically to biological ears. Though it will be slightly less sensitive than cartilage, your child will still have a sense of touch in this area.

Aftercare & Healing

Following surgery, Dr. Reinisch will place a protective silicone cover over the new ear to aid in healing and encourage proper contouring. Patients will have at least two follow-up appointments. The first takes place one to two days after surgery and the second is about two weeks later. We will provide out-of-town patients and their families with a complimentary two-night stay at the nearby Four Seasons Hotel. Many patients stay several weeks to benefit from ongoing supervision and care. We proudly partner with the local Ronald McDonald House, which provides accommodations to families traveling for medical treatment.

MEDPOR surgery typically results in less scarring than traditional surgical techniques. When Dr. Reinisch creates the ear framework, it will be constructed to be the same size as an adult ear. Although it may look slightly large for several years, young patients can experience a natural appearance, increased self-confidence, and enhanced hearing for the rest of their lives.

The Cost of MEDPOR

The MEDPOR technique requires a single outpatient procedure. Therefore, it will typically cost less than rib cartilage reconstruction, which requires a series of surgeries. Our team strives to make all of our treatments affordable. Our office staff will work with your insurance provider to obtain the greatest amount of coverage possible. If you do not have insurance or you need help with out-of-pocket expenses, we accept CareCredit® patient financing. There are several repayment options available, and we can help you find an affordable, low-interest plan. In select cases, we may be able to assist you through the Small Wonders Foundation. Dr. Reinisch established this non-profit specifically to help the families of children with birth defects.

Why Choose Dr. Reinisch?

Dr. Reinisch invented the MEDPOR technique, making him uniquely qualified to perform your child’s surgery. Since its development over 20 years ago, he has modified and improved the procedure so it yields better results than ever before. Dr. Reinisch is an internationally recognized expert in ear reconstruction. Along with plastic surgeon Dr. Youssef Tahiri, he has written a book called Modern Microtia Reconstruction, to be published by Springer in 2018. He is also equipped to perform revision surgery whenever necessary.

Above all, Dr. Reinisch is committed to the safety and wellbeing of his patients. He knows how to talk to kids and parents alike. He will answer all of your questions and help you to feel comfortable and confident about your treatment. After performing the MEDPOR technique, he will provide thorough follow-ups to ensure your child’s health and long-lasting results.

Learn More during a Consultation

To learn more about MEDPOR ear reconstruction and how it can benefit you or your child, schedule a consultation with Dr. Reinisch today. You can also call (310) 385-6090 to speak to a member of our team. To serve our many international patients, our staff is fluent in English, Spanish, Mandarin, Hungarian, Italian, and Russian.



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Reinisch Plastic Surgery

Beverly Hills Office (310) 385-6090