Background: Freestyle perforator-flap surgery allows for more versatility in selecting a donor location by basing flap selection on the specific quality and quantity of soft tissue needed at the recipient site. Objective: The aim of the current work was to evaluate the role of freestyle perforator flaps in reconstruction of small to medium-sized facial defects in plastic and reconstructive surgery. Subjects and methods: This interventional study included a total of 18 patients with small to medium-sized facial defects reconstructed with freestyle local perforator flaps, attending at