Done by: Dr.Alsiaghi Yahya PhD Consultant plastic surgeon

In this article will show you our experience in facial reconstraction from 2004 to2015 in sana'a yemen . throughout this period we are doing 144 cases in facial reconstraction which have different Aetiology with different age using all types of reconstructive method for all facial zone .

Reconstructive goals and principles

• Rapid reconstraction with optimization of function.
• Attempt to restore symmetry.
• Attempt to restore contour and projection of the region.
• Replace entive anatomic subunite.
• Protection of vital structures.
• Permit uneventful healing.

Difficulties of The Facial Reconstruction

• Contour and projection of region.
• Symmetry and mimetic facial expression.
• Many organ in the face (eye, nose, mouth) which need aesthetic and functional reconstruction.
• Internal and external coverage (skin and mucosa) which need double reconstructive material.
• In small and thin area all typ of tissue.

Reconstructive ladder

• Direct tissue closure.
• Local tissue transfers
• Skin graft
• Free tissue transfers
• Tissue expansion