After the second cut it was another hour and a half and the nurse came out to let me know the doctor got it all.  It would be about another hour before repair because there is a line of others in front of me for wound repair.  Finally it's time.  This time I go into a different room - this one is cold and there is percussion music playing softly in the background.  The doctor comes in and tells me that he recommends a skin graph taken from the inside of my ear to cover the wound (hole).  He will put sutures all the way around the graft.  I agreed since he is the expert.  He steps out.  More numbing needles and this time in my ear too.  The doctor comes back in and this time he cranks up the music and does his magic.