| Inferiorly based temporalis fascia or muscle-fascia interposition arthroplasty is a well accepted method and has been used primarily. or following a failed implant or surgeries. A costochondral graft has its own place in the armamentarium, but has been associated with high recurrence vs fascia, and has needed more repeat surgeries. Its growth potential is unpredictable. Whereas inferiorly based temporalis fascia or muscle-fascia flap can be easily obtained under the same local anaesthesia.