Objective To investigate the application and effects of the modified ear elevation in ear reconstruction. Methods From Sep. 2012 to Jun. 2014, 161 cases with congenital microtia were received ear reconstruction. The modified elevation in second stage was performed 6 months after first-stage operation for auriculocephalic angle reconstruction. EH composite wedge was transplanted at the rear side of framework, then the homolateral postauricular fascial flap was used to cover the postauriclar-frame, finally split-skin graft were transplanted on the fascia surface. Results All patients were followed up for 6-18 months (mean 12 months). In 151 patients, reconstructed auriculocephalic angle was close to the normal side. In other 10 patients, severe scar contracture was observed. Darker epidermis or partial grafted skin necrosis (<1 cm 2) were observed in 9 cases, and were healed by dressing. Conclusion Modified ear elevation in second stage can achieve satisfactory structure of auriculocephalic angle.