Complex soft tissue reconstruction after facial trauma with microvascular free-tissue transfer

Complex soft-tissue reconstruction after facial trauma presents a difficult challenge. Microvascular free-tissue transfer with customized circumflex scapular fasciocutaneous flaps offers a reliable and stable long-term correction of facial contour asymmetry attributable to facial trauma. Principles of skeletal reconstruction preceding soft-tissue surgery should be adhered to. By using the approach outlined in this article, soft-tissue camouflage can maximize the aesthetic outocme of reconstruction with microsurgical free-tissue transfer.