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OBJECTIVES: The objective of this study was to evaluate the use of dielectric pads for improving high spatial resolution imaging of the inner ear at 7 T. MATERIALS AND METHODS: Two sets of dielectric pads were designed using electromagnetic simulations and implemented using a deuterated suspension of barium titanate. Their effect on transmit efficiency, contrast homogeneity, and diagnostic image quality was evaluated in vivo (N = 10). In addition, their effect on the specific absorption rate was evaluated numerically. RESULTS: Statistically significant improvements (P < 0.001) in several measures of the image quality were obtained by using dielectric pads. The dielectric pads lead to an increase in the transmit efficiency and uniformity at the location of the inner ear, which is reflected in both an increased contrast homogeneity and an increased diagnostic value. Simulations show that the dielectric pads do not increase the peak local specific absorption rate. CONCLUSIONS: Using geometrically tailored dielectric pads enables high spatial resolution magnetic resonance imaging of the human inner ear at 7 T. The high spatial resolution improves the depiction of the fine inner ear structures, showing the benefit of magnetic resonance imaging at ultrahigh fields.