Facial reconstruction in burn patients remains challenging, requiring the restoration of both functional and aesthetic appearance. It is challenging to achieve good functional and cosmetic outcomes at the same time in any head and neck patient, and this is especially true for the face. Any functional impairment in visual acuity, visual field, smell, speech function, nutritional intake or even respiratory exchange can result in severe discomfort and inconvenience of daily living. Slight asymmetries or deviations from the norm are also poorly tolerated. The face is exposed and not easily concealed with makeup. Moreover, deformities caused by either the initial trauma or subsequent scarring and scar contractures often lead to difficulties in burn victims’ social relationships and have severe negative psychosocial consequences leading to withdrawal of the victim from society [1].