Improvements in immunosuppression and previously demonstrated successful outcomes have opened the door for facial vascularized composite allograft programs to be established worldwide.1 Facial vascularized composite al-lografting is a relatively new field in plastic surgery, and the ideal method for harvesting and transferring allografts is still evolving. Although this technique has been steadily gaining acceptance for the reconstruction of complex facial injuries and defects, the aesthetic results observed postopera-tively, although significantly improved over conventional multistage flap reconstruction, may often be recognized as less than optimal.
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