
A Note from Dr. Brown: Guatemala, August 2026
A note from Dr. Zach Brown: Point of View helping with @smilebackusa and @orcaa.global to change a man’s life — fibula-graft reconstruction after a gunshot injury five years ago.

A note from Dr. Zach Brown: Point of View helping with @smilebackusa and @orcaa.global to change a man’s life — fibula-graft reconstruction after a gunshot injury five years ago.

First-stage mandible reconstruction is underway in Guatemala. Old GSW — mandibular defect, maxillary defect, and significant facial soft tissue disfigurement — treated with a right fibula free flap.

Path case coming up in Guatemala. Old GSW going to be treated with staged bone and soft-tissue reconstruction — hardware removal, mandible repositioning, and right fibula free flap.

This 25 year old Guatemalan had a skull base tumor.

Facial reconstruction for a young man who had cancer.

This patient has Maxillary Necrosis secondary to cancer and will need microvascular reconstruction and free flaps.