Accidental trauma causing facial injuries as well as injuries to other parts of the body is common. Lacerations from falls as well as sports injuries are common and plastic surgeons are often called to treat these injuries in the A & E of the hospital. In severe maxilla-facial injuries with facial fractures especially in motor vehicle accidents or severe sports injuries the plastic surgeons are also involved in the treatment of the soft as well as bony tissues. The fractures are identified, reduced and fixed with appropriate mini-plate fixations and the soft tissues and skin are fixed. The aesthetic restorations of injured patients are very important for the patients. These are emergency treatment and require urgent medical attentions.