Facial necrotizing fasciitis is a very rare disease with a very high mortality rate. Early diagnosis with extensive surgical debridement must be done once the diagnosis is made. The technique of wound debridement depends on the individual case, bearing in mind the post operative wound care must be addressed well upon starting the debridement itself, as early as the skin incision is made. We present a case of an extensive facial necrotizing fasciitis that require a bicoronal flap incision with a modified drainage technique using a nasogastric tube for dressing. Our patient was successfully recovered from the dreadful illness and was discharged
