Original Research Article IP International Journal of Aesthetic and Health Rejuvenation, January-March, 2020;3(1):16-21 16 Sahai's Y flap technique for single stage total earlobe reconstruction— Introducing a new method Rahul Sahai 1 , Sudhir Singh 2* 1 Ex. HOD & Professor, Dept. of Plastic Surgery, S N Medical college, Agra, 2 Hon. IMA Professor (Academy of Medical Specialities-IMA) & Senior Consultant Plastic Surgery, Getwell Hospital, Varanasi Uttar Pradesh, India *Corresponding Author: Sudhir Singh Email: s.sulekha@gmail.com Abstract Based on 45 cases of total ear lobe reconstruction with a follow up of more than 20 years, we have come up with a new technique which fulfills the basic criteria of being single stage, simple in execution and aesthetically pleasing in comparison to normal side. We have named this flap as Sahai’s Y Flap technique for single stage earlobe reconstruction. Keywords: Ear lobe aesthetic reconstruction, Y flap. Introduction Earlobe reconstruction is very important aspect of restoring ones facial beauty and personality. Lots of methods have been described in the past, single as well as multi staged comprising of local flaps, regional flaps and skin grafts. In the present paper we have tried a new method of single stage earlobe reconstruction with aesthetically good results. Objective The purpose of our study is to introduce a new technique of earlobe reconstruction with a good aesthetic result. The study has been done for the last 20 years and has been found simple and easy with good results. We have named this technique as Sahai’s Y Flap single stage technique for total earlobe reconstruction. Patients and Method This study is a retrospective review of 45 patients of total earlobe loss treated by Sahai’s Y Flap technique. Patients age ranged from 4 to 60 years with an average age of 40 years. Females were 75% and males 25%. In the present study 36 cases were of assault injury, and 9 were of congenital hypoplastic earlobe. All cases were of total earlobe loss. We have not included cases of partial loss of earlobe in the present series. The period between injury and flap reconstruction except the congenital ones ranged from 0 to 4 years. The average follow up was 2 to 12 years. In one case we had 20 years follow up. We take reverse transparent tracing from normal ear side to ascertain amount of flap tissue required and then plan the reconstruction on deceased side. (Fig. A, 1). Fig. A: Diagram showing traumatic injury of ear resulting in to loss of earlobe. In the present method of earlobe reconstruction a ‘Y’ shaped flap is raised from pre and post auricular healthy skin. It is an inferiorly based flap in which the length of two limbs of Y are equal and is represented by distance ‘I’ between the point D and C. The breadth of the flap ‘h’ is equal to the vertical height of the lobe (this can be measured from the opposite normal ear). The flaps are raised from pre and post auricular region. These flaps are of skin and subcutaneous tissue with out any fascia or muscle. They are of random pattern type. The preauricular flap forms the anterior surface of the lobule while the posterior auricular flap forms the posterior surface. The secondary defects on pre and post auricular region are closed primarily meticulously. Geometry of flap