Parotidectomy with immediate reconstruction of the surgical defect with an en-block fat graft provides better esthetic outcomes than sternocleidomastoid muscle flap and platelet-rich fibrin gel after 1year. The sternocleidomastoid muscle flap and fat techniques resulted in minimal surgical site morbidity and lower likelihood of developing Frey’s syndrome. The fat graft yielded the best degree of cosmetic satisfaction with minimal morbidity. Fat over correction is recommended.