INTRODUCTION: Although plastic surgery is capable of restoring missing tissues, it may not be the ideal choice of treatment because of the complex shape and structure. For restoration of complex organs such as ears, prosthetic restorations may be an alternative to surgical restorations due to their aesthetical success. Prosthetic rehabilitation to restore the facial disfigurements with custom made prosthetic devices may improve the level of function and patient's self-esteem. Difficulties with facial prostheses may arise due to patient factors such as amount of soft tissue loss, location of the auricular defect, dynamic tissue beds, retentive quality of the area, and associated irritation of the tissue beds. Hence, the rehabilitation choice depends on meticulous restoration of physical dimensions, external contour, and surface landmarks to ensure satisfactory aesthetic outcomes for prosthodontists and their patients. OBJECTIVES: To use inrta-oral implant as an alternate of maxillofacial ones to retain auricular prostheses and evaluate autografted single stage implant placement surgery. MATERIALS AND METHODS: Ten patients complaining of congenitally missing ear either microtia or anotia or acquired missing ones were recruited from maxillofacial and prosthodontic departments' outpatient clinics, Faculty of dentistry, Alexandria University. Patients were diagnosed clinically and radio-graphically using Cone Beam Computed tomography imaging (CBCT). The prosthetic ear was retained using three ball and socket attachments .They were evaluated upon radiographic and clinical level of osseointegration as well as patient acceptance and hygiene. RESULTS: None of the implants showed failure to osseointegration; providing a survival rate of 100% on both clinical and radiographic levels of evaluation. CONCLUSIONS: The use of 6 mm dental implants in the mastoid region succeeded to replace the maxillofacial implants. Single stage implant placement surgery minimized tissue traumatization and possessed higher patient satisfaction level.