Facial asymmetry after unilateral ankylosis results due to the loss of the condylar growth center on the ankylosed side. This results in the skeletal midline deviating to the affected side, a lack of vertical growth on the same side produces a cant of the occlusal plane and mandibular retrognathism is seen as a result of the hypoplasia. The lower border of the mandibular corpus and angle on the contra lateral side is usually flattened. We report a case of facial asymmetry following unilateral ankylosis, which was treated by a combined approach with distraction osteogenesis and orthodontics. Inexpensive orthopedic finger distractors were used. The facial changes were analyzed using the Grummons facial asymmetry analysis.