Microsurgical facial reconstruction surgery encompasses various techniques applied both in the treatment of congenital diseases as acquired diseases or sequelae of trauma that caused the loss of part of the structure of the face or functionality. Among congenital conditions that can be solved, are remarkable different kinds of facial paralysis and atrophy, which prevents adequate mobility of muscles and structures of the jaw and / or the eyes and the facial expression (for example, Syndrome Parry-Romberg, the Moebius, or Binder, among others). Microsurgery facial handles replace affected facial areas and recover both its appearance and injuries that hinder their functionality through tissue transplants individualized, muscle and nerve grafts techniques. Currently, advanced microscopic techniques transplant tissues from the same patient allow rebuilding successfully face even involve great complexity, given the nature of this area of the human anatomy. Therefore, depending on each case staged several operations may be necessary to achieve completely solve the patient's pathology.