This study compared the shave-incision-healing (SIH) technique with standard second intention healing for auricular reconstruction after Mohs surgery. The SIH approach demonstrated comparable cosmetic outcomes while simplifying the repair process for appropriate ear defects.

The SIH technique offers a simple and effective alternative to traditional second intention healing for select auricular defects.

Auricular reconstruction strategy should be tailored to defect depth, location, and cartilage exposure.