Restoring the face — form and function together
A facial wound is never only skin-deep. The face carries expression, identity, and the way the eyes, lips, and nose work. Reconstruction is the discipline of rebuilding what was injured so it both looks right and works right — closing in the correct planes, hiding scars in natural lines, and restoring movement. Dr. Khaled Ghalwash approaches every facial defect with reconstructive and microsurgical technique, planning the repair before the first suture.
الوش مش بس جلد — هو تعبير وهوية ووظيفة. الترميم معناه نرجّع الشكل والحركة مع بعض.
What facial reconstruction covers
إيه اللي بيشمله ترميم الوجه
Acute wounds and trauma: Lacerations, crush and degloving injuries, and tissue loss from road or work accidents. Early, well-planned repair gives the best scar.
Animal and human bites: Common on the face, especially in children. These need careful cleaning, layered repair, and judgement about timing to balance infection risk against the best cosmetic result.
Post-excision defects: The gap left after removing a facial lesion. Reconstruction restores the contour of the lip, eyelid, nose, ear, or cheek.
Old or poor scars: Scars that are wide, raised, or pulling on a feature can be revised and re-aligned into a natural crease.
The principles that decide the scar
المبادئ اللي بتحدد الندبة
Aesthetic subunits: The face is read as units — lip, eyelid, nasal tip, cheek. Repairs that respect the borders between subunits stay invisible; repairs that cross them are seen.
Relaxed skin tension lines (RSTLs): Skin has a natural grain. A scar placed along that grain settles into a crease; a scar across it stays visible and may widen. Planning the closure direction is half the result.
Layered, tension-free closure: Each plane — muscle, deep tissue, dermis, skin — is rebuilt separately so the surface skin carries no tension. Tension is the main reason scars widen.
The reconstructive ladder: The simplest method that fully restores the area is chosen — direct closure, then local flaps, then grafts, then microsurgical free-tissue transfer for complex, full-thickness defects. Microsurgery lets tissue be moved with its own blood supply when a defect is too large to close any other way.
Not every problem needs surgery first. Read our honest assessment guide.
See real reconstructions
Before and after cases of facial wound and trauma reconstruction, shared with patient consent. Contains graphic surgical content.
View the results gallery →الترميم مش رفي جرح — هو إعادة بناء الشكل والوظيفة
Facial reconstruction at Ghalwash Hospital:
- Reconstructive and microsurgical technique for simple and complex defects
- Repairs planned by aesthetic subunit and skin tension lines
- Form and function restored together, not skin alone
- See real outcomes in the facial reconstruction results gallery
Choosing your surgeon matters — read how to choose a surgeon first.
Before your surgery: what tests Dr. Khaled Ghalwash will order
Every patient receives the standard pre-operative panel, with personalised tests added by profile.
