Microsurgical correction of facial asymmetry in hemifaclal microsomia

Facial asymmetry in hemifacial microsomia presents reconstructive problems of bone and soft tissue. In most cases, this is managed by skeletal reconstruction followed by microvascular free tissue transfer for patients requiring soft tissue augmentation. We present here our experience using customized parascapular free flaps with extensions of dorsal thoracic fascia, which yields esthetically satisfying results.