Head and neck tumours are common. Most salivary gland tumours arise from the parotid gland and 80% are benign. Tumour resection can be limited/partial, superficial, total or radical depending upon the pathology2. This can lead to a cosmetic deformity in the pre-auricular /cheek region, infra-auricular region causing a superior cervical depression (especially if combined with a neck dissection) and retromandibular regions2,3. More than 50% of patients report being affected by facial contour abnormalities after parotidectomy and their deformity can be both visible on direct and lateral facial views4. The cosmetic defect following parotidectomy has been rated from moderate to severe disgurement5. Facial disfigurement experienced by head and neck cancer patients has a strong impact on their quality of life6,7 (both in function and cosmesis). This is accentuated by the central role of the face in social communication and expression. Despite these facts there is little evidence on PRO measures post parotidectomies.