A person’s face serves as the principal focal point for social interactions, communication with one another, as well as an integral aspect of expressing emotion and functioning in everyday life. Traumatic insults can leave the face deformed and sometimes significantly distorted, causing the victim to withdraw from society and affecting everyday interactions and social events. Burns are one such traumatic event that can cause significant functional as well as aesthetic changes to the face. Reconstruction of the burned face poses a difficult and complex challenge, as local flap options that may be present and available in nonburned faces for reconstructing trauma or skin cancer resection defects are often not available in burned faces. This chapter presents and elucidates various options available for local flap reconstruction in the burned face.