Tensor fascia lata graft with fat graft used as a wrist watch sling for ectropion release in a complex facial scar

The face is a vital structure with uttermost importance aesthetically and functionally. Complex facial scar is a surgical challenge due to scarred and fibrotic surrounding tissue with unpredictable healing. We describe a case of a 50-year-old male with multiple times operated scars over his face. In this technique, we used dermis fat grafting attached to tensor fascia lata designed as a wristwatch. The tensor facia lata was designed as a dial of a watch which was attached on both sides by dermis fat graft like a wristband. Both tissues were used in a single stage to manage an intractable complex facial scar with ectropion. There were no significant complications post-operatively.