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Aim: The reconstruction of microtia cases is a challenging topic and Auricular reconstruction is a unique area of facial plastic surgery where a wide array of reconstructive options often must be considered. The goal is to assess the use of three-dimensional (3D) printing to create a 3D model for use during reconstruction to achieve better aesthetic results.Patients and methods: This study included ten patients with microtia. Two stages of ear reconstruction, the authors used a 3D printed auricular model of the contralateral ear as an intraoperative guide. The Mansoura ear reconstruction scale was conceptualized and used by the authors to assess the final aesthetic outcomes. Results: In total there were 10 patients with 11 affected auricles. Results were 6 patients with an excellent result, 3 patients with a very good result and one patient with a fair result according to Mansoura ear reconstruction scale.Conclusions: To conclude, the use of a 3D printed auricular model specific to each patient for microtia reconstruction led to excellent results and patient satisfaction after reconstruction. The use of 3D printed models for microtia reconstruction resulted in an overall increase in aesthetic outcomes and increased patient satisfaction.Keywords: Auricular model - Costal cartilage - 3D printing - Ear reconstruction- Microtia -Tissue expander.