Patients with facial palsy tell you they avoid photographs, cover their mouth when they laugh, and slowly withdraw from the moments that used to bring them joy. The tumour was gone, but the facial nerve on that side had not recovered. Because the case was done early in my fellowship, I had a privileged fellowship surgeons rarely get, I watched the reinnervation unfold. Craniofacial surgery, facial palsy, head and neck reconstruction and facial aesthetic surgery are not separate disciplines, they are the same discipline viewed from different angles. My years dedicated to reconstructive surgery are precisely what give me a nuanced, anatomically precise approach to facial aesthetic surgery.