Repair of auricular defects can be a challenging endeavor due to a broad variety of clinical presentations and available reconstructive options. Acquired auricular deformities most commonly result from a wide range of traumatic injuries and following Mohs' extirpation of cutaneous malignancies. A choice of repair ultimately depends on patient factors, amount of soft tissue loss, and location of the auricular defect. Meticulous re-establishment of proper physical dimensions, smooth external contour, and complex surface landmarks ensures satisfactory aesthetic outcomes for surgeons and their patients.