Facial soft tissue reconstruction is a multi-step process that offers unique opportunities and challenges and requires thoughtful and detailed pre-operative plan for a meticulous execution. Sound knowledge of healing process and its impact on soft tissues like contracture and scar formation are crucial to plan the reconstruction of a defect. A thorough understanding of vascular anatomy and physiology of the flaps that we raise is beneficial to avoid complications that follow reconstructive surgery to provide best possible care to patients.