Cheek reconstruction the cheek constitutes the facial periphery and plays a key role in the maintenance of oral competence and mastication, the facial manifestation of human emotion, and the support of neighboring primary structures. The repair of cheek defects seeks to achieve both aesthetic and functional ends that must be carefully considered by the reconstructive surgeon. The most common causes of acquired cheek defects include tumors, burns, trauma, whereas congenital-abnormalities in cheek contour may be due to facial clefts, vascular anomalies, or facial wasting syndromes.