Attempts to augment or circumvent adhesives for retaining facial prostheses have been beneficial for many patients, particularly when a significant number of prostheses have failed because of insufficient retention. This approach is helpful in overcoming the problems created by the continued reluctance of surgeons to remove an entire facial organ in eradicating a relatively small disease process. There has been a positive response to suggestions that proposed surgery be planned to include the creation of sites which could be used for anatomic or mechanical retention.