When it comes to correcting prominent or misshapen ears through otoplasty, finding a trusted specialist is essential. In Hanoi, HIBC (Hanoi International Beauty Center) stands out as a leading institution, offering world-class aesthetic surgery services with a focus on precision, safety, and natural-looking results. At the helm of this center is one of Vietnam's most esteemed plastic surgeons—Assoc. Prof. Dr. Nguyen Hong Ha, whose reputation in the field makes HIBC the top choice for otoplasty and other facial aesthetic procedures.A Renowned Leader in Aesthetic SurgeryAssoc. Prof. Dr. Nguyen Hong Ha currently serves as the Chief of the Department of Plastic and Aesthetic Surgery at Vietnam-Germany Friendship Hospital in Hanoi, one of the country’s most prestigious medical institutions. With decades of experience in plastic and reconstructive surgery, Dr. Ha has built a career defined by excellence in clinical practice, groundbreaking research, and a commitment to advancing the standards of aesthetic medicine in Vietnam.Patients from across the country—and even internationally—seek out Dr. Ha not only for his technical proficiency but also for his compassionate approach and personalized care. His deep understanding of facial anatomy and aesthetics ensures that each otoplasty procedure is tailored to the individual’s unique facial structure and cosmetic goals.What Sets HIBC Apart?HIBC combines advanced surgical techniques, state-of-the-art facilities, and the visionary leadership of Dr. Nguyen Hong Ha to provide the highest standard of care in otoplasty. Here’s why patients trust HIBC:Expertise in Otoplasty: From correcting prominent ears to reshaping congenital ear deformities, HIBC offers a comprehensive range of otoplasty procedures. Dr. Ha’s meticulous approach minimizes scarring and delivers balanced, symmetrical results.Patient-Centered Care: Every consultation begins with a detailed discussion of the patient’s concerns and aesthetic aspirations. The team at HIBC places strong emphasis on clear communication, comfort, and patient education throughout the surgical journey.Modern Medical Infrastructure: HIBC’s surgical suites and recovery areas are equipped with cutting-edge technology, meeting international standards for safety and hygiene.Post-Operative Excellence: Recovery care is a vital part of HIBC’s success. Patients receive detailed aftercare plans and regular follow-ups to ensure optimal healing and satisfaction.Otoplasty at HIBC: What to ExpectAt HIBC, otoplasty is typically performed under local anesthesia with sedation, making it a safe outpatient procedure. The surgery involves making precise incisions behind the ears to reposition, reduce, or reshape the ear cartilage. Recovery is generally swift, with most patients returning to normal activities within a week and enjoying full results in a few months.Patients often report a significant boost in self-confidence and satisfaction with their appearance post-surgery—testament to the transformative nature of this seemingly minor but deeply impactful procedure.A Reputation Built on Trust and ResultsDr. Nguyen Hong Ha’s dual role as a surgeon and educator ensures that the latest innovations in surgical technique are always part of HIBC’s practice. His contributions to academic research and surgical training have made him a respected authority in Vietnam and beyond.Whether you’re seeking corrective surgery for prominent ears or a more refined ear shape, HIBC in Hanoi offers the best in otoplasty—led by a world-class surgeon committed to artistry, safety, and patient well-being.

By Ha H. Nguyen, Huyen T. T. Tran, and Hang T. T. NguyenDepartment of Maxillofacial - Plastic - Aesthetic Surgery, Viet-Duc University Hospital, Hanoi, VietnamA Single Cut That Changes LivesIn the evolving field of reconstructive surgery, cosmetic outcomes matter just as much as functional success—especially for procedures that impact visible areas like the ear. Traditional auricular reconstruction techniques, while effective, often leave behind long scars and areas of hair loss. But what if we told you there's now a minimally invasive alternative?Welcome to the era of single-incision, endoscopic-assisted temporoparietal fascia flap (TPFF) harvesting—a breakthrough that blends surgical precision with aesthetic sensibility.The Challenge of Auricular ReconstructionAuricular reconstruction for conditions like congenital microtia or trauma-related ear loss has long relied on two primary methods: autologous costal cartilage or porous polyethylene (PPE) frameworks. The cartilage option demands multiple stages and is delayed until children reach ages 8–12. PPE frameworks, introduced for younger children by Reinisch in the 1990s, allow earlier intervention but require meticulous soft tissue coverage to avoid complications like framework exposure.Enter the TPFF—an ideal thin and vascular flap used to cover the ear framework. Historically, harvesting this flap meant long, conspicuous scalp incisions that often led to scarring and alopecia. Not anymore.The Breakthrough ApproachFrom 2018 to 2021, our team at Viet-Duc University Hospital treated 60 patients using a novel single-incision technique. We used an endoscope and a single discreet incision hidden along the hairline to harvest TPFFs—entirely avoiding scalp scars.Our key achievements:61 flaps harvested with no flap necrosis or severe complications.Only 11.5% had minor framework exposures, all managed conservatively.One instance of facial nerve injury across all cases.Viable flaps with excellent blood supply, confirmed postoperatively.We successfully reconstructed ears in patients ranging from 3 to 50 years old, with many young children receiving life-changing surgery before even starting school.Why It WorksUsing a 30° endoscope, we navigated the complex anatomy of the scalp with precision. We carefully preserved vital arteries such as the superficial temporal artery and its branches, ensuring flap viability. In some cases, we even identified additional small arteries previously undetectable by Doppler or CT angiography.This method not only avoids unsightly scars but also reduces intraoperative blood loss, postoperative pain, and recovery time. Surgeons benefit from ergonomic ease and a magnified surgical field, and teaching this technique becomes easier via live video feed.Looking AheadWith this technique, we achieved both reconstructive goals and cosmetic excellence. And with 61 flaps—the largest series of its kind—we’re confident this approach can become the new gold standard for auricular reconstruction.Our heartfelt thanks go to Dr. John Reinisch and Dr. Ken Stewart, pioneers in microtia reconstruction, for their guidance and inspiration.For Patients and ParentsIf you're a parent of a child with microtia or someone dealing with an ear defect, know that solutions are becoming not just better—but also more beautiful.

A lesser-known fact: Vietnam, along with a few of the world's most advanced countries, can perform certain specialized medical techniques.One such example is the treatment of microtia, a congenital ear malformation. Typically, a normal ear measures around 3 cm by 6 cm, but some children are born with ears as small as a pea, a peanut, or sometimes no ears at all. The occurrence of this defect varies globally, affecting approximately 1 in 4,000 to 1 in 9,000 live births. In Vietnam, there are an estimated 150 to 200 new cases each year.Children with this defect often feel self-conscious and face significant challenges integrating into school life. Naturally, parents want their children to undergo surgery to reconstruct the ear. However, ear reconstruction is one of the most challenging procedures in cosmetic plastic surgery.That said, I can confidently state that Vietnam is a "powerhouse" in auricular reconstruction.In 2012, we handled a case involving the reattachment of a severed ear. When asked about the ear, the individual quickly searched a grass field and managed to retrieve it within the crucial six-hour window for successful microsurgical reattachment. This marked Vietnam's first case of microsurgical ear reattachment and one of the world's first five successful cases without postoperative complications.Microsurgery to reconnect arteries and veins in a completely severed ear is extremely rare and challenging. In severe trauma cases where the detached ear is crushed or in congenital deformities where there’s no ear to reattach, the surgeon must reconstruct the auricle. Even in this field, Vietnam leads the way.The ear has 15 to 20 different ridges and depressions. Structurally, the auricle comprises a thin white cartilage layer inside, covered by pink subcutaneous tissue, and a durable outer layer of thin skin. Ear reconstruction requires creating a delicate yet sturdy 3D cartilage framework before overlaying it with the thin skin layer. If the skin is too thick, the ear ridges won’t form; if too thin, the cartilage may protrude and become necrotic. Improper technique can result in the ear resembling a potato or fungus.The ear's vascular system includes tiny blood vessels that are only a third the diameter of a toothpick. Surgeons must use super-microscopes to suture these vessels with threads as fine as one-tenth the thickness of a hair. The complexity of ear reconstruction is so high that the global Ear Surgery Association has only about 200–300 qualified surgeons. Traditionally, doctors worldwide use the patient’s own rib cartilage for ear reconstruction. This method requires two to four surgeries, including harvesting rib cartilage, sculpting it into an ear framework, implanting it under the skin, shaping the ear, and refining the ridges and lobes. Using rib cartilage can lead to complications such as pneumothorax or significant postoperative pain. Patients must also wait until they are at least 10–12 years old to have sufficient cartilage for the procedure.In Vietnam, we now use a new U.S.-developed technique, reconstructing the auricle in a single surgery using an artificial cartilage framework. Children as young as four can undergo the operation. However, this method is particularly challenging. Only two or three centers worldwide can perform it, including Vietnam. The key lies in harvesting a thin yet strong temporoparietal fascia while preserving its tiny blood vessels.Vietnam's success stems from extensive experience with microsurgery and endoscopy. Auricular reconstruction with endoscopic assistance in a single surgery is a technique unique to Vietnam and the U.S.Patients from around the world seeking this new procedure must travel to the U.S., where it costs approximately $100,000 (for the operation). Neighboring countries like Singapore and South Korea still use traditional methods. Parents (from Viet Nam) who want their children treated abroad for congenital ear deformities face costs of 2–3 billion VND (Around $80,000 – $120,000). Whereas, many major hospitals in India, Thailand, Indonesia, France, Germany, and Switzerland invite Vietnamese experts to perform ear surgeries or send delegations to Vietnam for training.Vietnam achieves remarkable feats, yet international patients remain unaware that they should come here for treatment.Beyond ear surgery, Vietnam has approached the highest global standards in many medical fields. However, my concern is why foreign patients are unaware of Vietnam as a destination for medical interventions. Vietnamese doctors achieve results comparable to those in the most advanced countries, but at only 25–30% of the cost, even for long and complex surgeries.Vietnam has the potential to become a leading global hub for advanced medical services, which could generate significant foreign revenue. However, the reputation of Vietnamese healthcare does not yet reflect its true capabilities. International perceptions often view Vietnam as a developing country with underdeveloped medical infrastructure and services.Yet, Vietnamese healthcare has made significant strides in recent years. Public hospitals have opened international-standard departments with improved services. Many private hospitals strive to meet international quality standards, collaborating with experts from public hospitals to introduce new technologies and techniques. Recently, not only the public hospital where I work but also a private international hospital received global accreditation from the Royal College of Surgeons (RCS). Some Vietnamese doctors, including myself, have been recognized as global lecturers by this prestigious organization. Despite these commendable efforts, the retention of domestic patients has only slightly improved. The number of foreign patients coming to Vietnam remains modest, partly due to inadequate promotion of Vietnamese healthcare.From a national perspective, Vietnam has the potential to become a leading center for high-quality medical services, capable of performing even the most complex surgeries for international patients. The main challenge now is effectively communicating this capability to the world. It's crucial to highlight that Vietnam offers high-quality services at reasonable costs, making it an attractive destination for medical interventions.Currently, only a small group of top international surgeons recognizes the capabilities of Vietnamese doctors. With more systematic promotion, Vietnam’s reputation in ear surgery and other medical fields could reach a global audience. Coordinating efforts between public and private hospitals to enhance expertise and service quality must go hand-in-hand with developing effective communication strategies. This synergy would help Vietnam's healthcare sector seize meaningful opportunities.Assoc Prof. Dr. Nguyen Hong Ha

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