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Facial soft tissue reconstruction is a multi-step process that offers unique opportunities and challenges, and requires thoughtful and detailed pre-operative plan for a meticulous execution. Sound knowledge of healing process and its impact on soft tissues like contracture and scar formation, are crucial to plan the reconstruction of a defect. A thorough understanding of vascular anatomy and physiology of the flaps that we raise, is beneficial to avoid complications that follow reconstructive surgery to provide best possible care to patients.