This article contains a survey of the methods of facial reconstruction I have used for the past more than 35 years. The advantages of free grafts, especially composite grafts, the place for local flaps or in other areas for defect cover by a combination of flaps and grafts are explained. A few patient examples Illustrate the described methods.
The vertical rectus abdominis myocutaneous (VRAM) flap is the preferred means of post-mastectomy defect cover for large breast tumours