(a) Radial forearm free tissue transfer reconstruction after microvascular anastomosis. (b) Closure. Note excellent skin color match and thin pliable soft tissue in the temporal region avoiding bulky aesthetics and unnecessary lateral canthal traction. Due to the advanced nature of the primary lesion, postoperative radiotherapy was administered to the primary site and parotid bed. At last followup, the patient was alive without evidence of distant disease or local recurrence.