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On the basis of my own material, I discuss the problems and complications encountered in the course of performing 75 free transplantations of tissues. The causes and management of both common and uncommon complications occurring after incorrect as well as faultless surgery are discussed, and numerous examples are described.

On the basis of 35 maxillary osteotomies of the Le Fort I and III types, the authors discuss the main problems connected with treatment of maxillary hypoplasia and midfacial retrusion. Special attention is paid to cases that demand coordinated treatment including skeletal as well as soft tissue repair and reconstruction. Thanks to combined treatment in all cases, including 7 patients with partial backward displacement of the osteotomized fragments whose occlusion could not be entirely corrected, striking or highly satisfactory improvement of appearance was achieved.

On the basis of about 600 cases I discuss the problems related to late repair of severe facial burns. Besides the classical methods of tissue transposition, some recent approaches, such as free transfer of various flaps and the use of secondary island flaps from the retroauricular region, are presented. In my opinion, the quality of tissue for a reconstructive procedure in the facial region and the final result of the treatment should be the main concerns in treatment. Therefore, despite the general tendency to opt for the quickest treatment, the long-lasting, staged, and--if necessary--even the most sophisticated procedures are fully justified.

Management of patients with severe postburn facial deformities is elaborated. On the basis of over 400 patients, the planning and value of numerous surgical methods are discussed with--special regard to rarely adopted but effective solutions.