EFIL Plastic Surgery Center

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This procedure slims the sides of the head by reducing the size of the temples, creating a narrower and more balanced facial contour. A wide temporal area can be caused by thick temporal muscles, excess temporal fat, or prominent temporal bone. A facial bone CT is often used to assess the cause.

If the temporal muscle is thick, we may partially release it from the bone or perform temporal fasciotomy—loosening the fascia to reduce muscle tension over time. Botox can also be used for a non-surgical reduction.

In cases where the temporal bone itself is thick, part of the bone can be shaved, often combined with muscle reduction, for a more dramatic and visible result.

Why does the temporal region thicken? It's often linked to chronic stress, anxiety, or clenching habits—grinding teeth or chewing hard food as a way of tension release. Over generations, a highly obedient or rigid lifestyle can lead to increased activity in the temporal lobe, possibly influencing skull development. This makes the head wider in shape, especially in cultures with vertical, top-down social structures.

Temporal reduction is not brain surgery—but it does involve the bone that protects your brain, so the decision should be made with care and self-understanding.

[Temporal reduction reshapes the bone and muscle surrounding your temporal lobe.]
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The ear, though often overlooked, is a delicate structure. When trauma strikes—through accidents, piercings, or contact sports—its form and function can be irreversibly altered.
From minor lacerations to severe cartilage loss, traumatic ear reconstruction involves precise suturing, local flaps, skin grafts, or even costal cartilage grafting to restore the ear’s shape.

Contact sports like wrestling or rugby can lead to repeated hematomas between the cartilage and skin. When untreated, this causes fibrosis and deformation—commonly known as cauliflower ear. If addressed early (within 2–3 days), simple drainage and compression can prevent long-term damage. But once hardened and chronically deformed, only surgical reconstruction remains.

Some athletes embrace cauliflower ear as a badge of honor. Yet many, later in life, wish to return to their original ear shape—requiring removal of fibrotic tissue, and at times, full reconstruction using rib cartilage, fascia, and scalp tissue.

Beyond aesthetics, trauma to the auricle affects how we perceive sound.
Ear reconstruction isn’t just about restoring form—it’s about honoring the ear’s quiet role in how we hear and are heard.

Traumatic ear reconstruction is the art of reawakening our respect for something we rarely notice—until it’s lost.
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Anotia, the complete congenital absence of the external ear, requires complex reconstructive surgery that addresses both function and aesthetics.

In early infancy (around 6 months), most patients with microtia-related hearing loss begin auditory rehabilitation with a soft-band BAHA (Bone-Anchored Hearing Aid). This device transmits sound vibrations through the skull directly to the cochlea, bypassing the malformed ear canal. At around age 6, a titanium BAHA implant is surgically fixed once the skull bone reaches a minimum thickness of 3mm.

By age 10, when rib cartilage has matured, autologous rib cartilage grafting is typically performed to sculpt a natural-looking ear. Using 6th–8th costal cartilage segments, a 3D framework is hand-carved and inserted into a skin pocket at the appropriate anatomical site. Six months later, the ear is elevated and supported with additional cartilage. Fine skin flaps from the temporal region are used to define the postauricular fold.

Alternatively, Medpor (a porous polyethylene implant) allows for a shorter surgical process but carries an ongoing risk of infection. Tissue expansion is usually needed beforehand, and a vascularized fascia flap (e.g., temporalis) is used to enhance implant integration.

Auricular reconstruction is more than cosmetic—it's a journey to restore identity, symmetry, and sound. Each case requires a careful balance between surgical technique, timing, and patient-specific goals.

[Absent ear surgery is not just about creating an ear—it's about restoring the ability to hear and belong.]