Facial epithesis on a budget. Still an option?

Reconstruction of postsurgical wounds, especially in the maxillofacial area, remains a difficult step for the patient´s management. In some cases, surgical reconstruction is not an option, because of various reasons, that is why for these particular cases other alternatives should be considered. Anaplastology is the medical branch that offers the possibility of reshaping the entire facial aspect. We present the case of a 54-year-old patient who lost the left eyeball due to childhood retinoblastoma surgery. Surgical reconstruction was not performed, primarily due to socioeconomic deficiencies. The stepwise method used to create an epithesis that would restore the facial symmetry is thoroughly explained. After taking the impression of the area and creating a model on the spot, successive steps followed, including eyeball creation. The purpose of this difficult procedure was to ensure the social reintegration of the patient, after years of struggling with depression. The outcome was excellent, obtaining a precise epithesis with limited resources.