I am considering my second fibula free flap surgery to reconstruct my mid face. The first surgery (2014) was successful, however, due to the positioning of the bone there is insufficient bone for implants, and no dentition for dentures. I have 8 teeth missing from my right upper jaw and no dental options.

I could accept this situation, and choose soft tissue transfer, some further adjustments to my mid face, including a half face lift, the use of fat injections and botox to reconstruct my face...or

I could undergo another ffft and then do all of the above. The difference would be eight teeth.

What do you think? What should I weigh up?