How it works
Everything begins with a careful consultation. Your surgeon will look closely at the damaged area, ask about your medical history and any past surgeries, assess both shape and function (such as whether you can close your eyes or close your lips), and may order imaging like a CT scan to understand the bone and tissue underneath. This is also when you say what matters most to you, so that together you can set realistic goals.
Most facial reconstruction is done under general anaesthesia, which means you are fully asleep and feel nothing during the operation. For small, shallow areas, a local anaesthetic is sometimes possible. The right kind of anaesthesia will be decided by your anaesthetist based on how extensive the surgery is and on your health.
Depending on how large the damage is and where it sits, your surgeon may use several different techniques. For a small defect, the area may be closed directly or covered by rotating a nearby piece of skin. For larger damage, your surgeon may take tissue from another part of your body — called a flap, made up of skin, fat, muscle, or bone along with its feeding blood vessels — move it to the face, and reconnect the blood vessels under a microscope (microsurgery). Bone and cartilage can be rebuilt to support the shape. The exact technique is chosen for each person individually.
Facial reconstruction is often not a single operation. Many cases are carried out in stages, spaced weeks to months apart, so that tissue can heal between them and the shape and function can be refined little by little. Your surgeon will talk through the expected path with you from the start.