To re establish self esteem and confidence, good quality reconstruction of post Cancer excision defects is essential .
In some cases free vascularized flaps are only and the best option to reconstruct such defects.
This patient was suffering from cancer of rt cheek, excision of cancer left full thickness defect of rt cheek.
Cheek was reconstructed with free vascularized rt ALT flap bipaddle (for cheek lining and cover both).
after cancer excision fullthickness defect rt cheek 
rt cheek defect reconstructed 
harvested ALT flap 
flap marking 
flap donor defect closed primarily