A good functional and cosmetic result following midfacial reconstructive surgical procedures is of paramount importance. We describe the use of a PEEK (Polyetheretherketones) implant to reconstruct the mid-face area, following extensive mutilating surgery due to an infiltrative skin tumour

Case report

A 67yr old gentleman underwent multiple and extensive surgeries to the left cheek and lower lid due to a highly aggressive metatypical basal cell carcinoma (BCC). Complete clearance of the recurrent tumour resulted in a cosmetically evident absent cheek contour and facial deformity. The PEEK implant was used to restore the bony cheek contour, with good aesthetic outcome and restoration of the facial symmetry.

Pre-operative planning with 3-dimensional CT scans allow for customization of the implant. PEEK implants have been scantily described in the peri-orbital region. The material has a very low reported morbidity and also has the advantage of improving intra-operative predictability and reducing surgical time in complex reconstructive procedures.