Reconstruction of the Cheeks

The goal of cheek reconstruction is to restore facial appearance with symmetrical contour, uniform color, and even texture. There is abundant mobility and laxity in the cheek, allowing for linear side-to-side closures and flap repairs. These repairs results in the fewest incision lines and a minimally noticeable scar. Secondary intention healing and grafts typically result in inferior cosmetic outcomes, and are only used in special circumstances. The primary flaps used in cheek reconstruction include rhombic transposition, rotation, and advancement flaps. These repairs take advantage of loose skin on the inferior portions of the cheek. Some unique complications associated with cheek reconstruction include eyelid swelling and bruising, ectropion, motor nerve deficits, medial canthal tenting, and parotid fistulas.