Background: Different reconstructive approaches have been introduced over last decades for management of facial defects. Local flaps, whenever possible, may be an ideal solution for some defects. The aim of our study is evaluation of the outcomes of different local flaps in reconstruction of mid and lower facial defects.

Patients and methods: This study was a prospective, non-randomized and uncontrolled trial recruiting twenty patients admitted between December 2017 to June 2018 at plastic surgery unit, Zagazig University Hospitals complaining of facial defects post trauma and tumors excision and trauma to mid- and lower face regions due to multiple etiologies. Twenty patients were admitted to plastic surgery unit complaining of facial skin tumors and post-traumatic mid and lower facial defect.

Results: The mean and standard deviation of age was 51 years ± 20.68 with minimum 9 years and maximum 77 years. In our study, there were 11 males (55%) and 9 females (45%). the relationship between patient satisfaction and outcome, there was statistically significant difference toward having good outcome and good verbal response (p = 0.006). There was statistically significant deviation of outcome to be good or very good rather than poor or accepted despite presence of complication (p=0.002). In order to examine the relationship between patient satisfaction and defect area there was no statistically significant difference both variables (p = 0.085).

Conclusion: Meticulous selection of facial flap for every lesion is mandatory for gaining not only better results aesthetically but to protect patient's self-image, self-esteem and prevention of associated depression.