A 25 years old female presented with alleged history of assault by husband over the left face. There was degloving and avulsion of the left side of her face including the nose, forehead skin and eyebrow on the left side, upper and lower eyelids and part of the cheek. The globe as well as eyesight was intact. The extra ocular movements were present. A thorough debridement was undertaken, and the devitalized tissue was excised. Meticulous suturing was done to relocate the avulsed structures to their respective positions. After four weeks, costal cartilage graft was used for nasal augmentation. At follow-up one year after the trauma, and after two surgeries, the patient was satisfied with no functional defcit. There were no nasal or ocular complaints. Eye opening and closure were normal. Doctors felt that the cosmetic outcome was suboptimal, and offered the patient the options of scar revision over the forehead, staged removal of skin graft over the cheek, and a more appropriate eyebrow positioning. However the patient was satisfied and was not desirous of any other surgical procedures suggested to her.
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