(A) Preoperative view of the protruding right parotid mass, which led to facial disfigurement. (B) Preoperative status of the mass occupying the parotid region.|@|~(^,^)~|@|(A) Preoperative contrast-enhanced axial computed tomography scan showing a large right parotid mass with heterogeneous enhancement. (B) Coronal computed tomography showing mass protrusion from the parotid gland.|@|~(^,^)~|@|Preoperative gadolinium-enhanced magnetic resonance imaging delineating the soft tissue border of the right parotid mass and showing the facial disfigurement caused by the large parotid tumor. (A) Axial view, (B) coronal view.|@|~(^,^)~|@|Intra-operative photographs. (A) Significant soft tissue hollowness in the right parotid region after total parotidectomy with an intact but exposed facial nerve (black arrow). Superficial musculoaponeurotic system (SMAS) layer (white arrow) and sternocleidomastoid muscle (SCM) (blue arrow) can be identified. (B) Closure and reconstruction of the defect with the combined use of an SMAS flap and a superiorly based partial-thickness myocutaneous SCM flap. The resultant standing-cone deformity was corrected using Z-plasty to hide the scar behind the right auricle.|@|~(^,^)~|@|(A) One-month postoperative frontal view of the patient clearly showing more harmonious facial contouring and negligible lower facial-third asymmetry formed by the bones of the lower face. (B) Postoperative lateral view showing hidden facial scars and smooth contouring and transition between the face and neck region.

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