This 64-year-old man presented with the late sequelae of a gunshot injury to the left side of his face. At the time of injury, he had his left mandible successfully reconstructed with a fibula flap. The posttraumatic left-sided facial palsy was left untreated. In a later attempt to restore the posterior height of the reconstructed mandible for prosthetic purposes, vertical bone distraction of the fibula flap was performed, which failed leaving behind a weakened bone buttress. At inspection, right-sided facial deviation, left brow ptosis, and a severely deficient lower third of the face hesitated. The skin was heavily scarred, with hypotrophic zones and areas with multiple telangiectasias. Based on the patient’s requests, static correction of the facial asymmetry was achieved in three consecutive operations. At first, facial deviation was corrected by means of static sling suspension with the use of homologous fascia lata; a 1.2 g platinum eyelid chain (Berghaus/Schrom) was inserted and a lateral canthoplasty was performed to treat lagophthalmos; Coleman’s lipostructure was performed to correct the deficient cheek volume and 50 mL of fat was deposited in layers starting from the fibular bone to the subcutaneous tissue. In the second operation, left commissuroplasty, nasolabial fold skin excision, and direct brow lift were done. Simultaneous lipofilling was performed using an 18G epidural needle to increase the volume of the cheek (20 mL), whereas subdermic infiltration of fat (5 mL) was done with a 22G epidural needle to release scarred skin. Final correction consisted of the lower eyelid ectropion correction using ear cartilage graft. Eighteen months later, acceptable symmetry of the lower face is retained; likewise, telangiectasias and skin pliability and tropism greatly improved with the time.