Microsurgical free tissue transfer using customized fasciocutaneous flaps can correct facial asymmetry, camouflage either minor or significant contour deformities and restore facial harmony. Conditions which have been successfully reconstructed include facial atrophy, congenital malformations such as hemifacial microsomia and Treacher-Collins Syndrome, post-traumatic deformities, sequelae of radiation for treatment of childhood malignancies and various collagen vascular diseases.