BACKGROUND: Prefabricated flap is an important technique to reconstruct facial skin defects. There is no any procedure for full facial reconstruction, and we are the first one to accomplish it. METHODS: Instead of the traditional supraclavicular island flap, we choose nonexpanded flap pedicled by the anterior perforator of transverse cervical artery (ap-TCA) to repair the whole facial deformity. RESULTS: Nonexpanded prefabricated ap-TCA flap repaired full facial deformity successfully. CONCLUSION: Nonexpanded prefabricated ap-TCA flap is one of the best options for male full facial deformity patients.