Abstract: Following surgical extirpation of the buccal carcinoma, there is an anatomical and functional deficit. Though the anatomical defect reconstruction is straight forward with multiple flap options, the functional deficits are addressed less frequently. Due to the resection of the facial muscles and the facial nerve branches the patients generally have facial paralysis. This facial paralysis leads to significant psychosocial consequences. We aim to present the technique of functioning free myocutaneous anterolateral thigh flap for simultaneous reconstruction & facial reanimation.