The management of facial wounds poses unique challenges to the surgeon, given the specialized nature of facial tissue and the aesthetic importance of the face. The wide range of wounds varies from simple superficial skin lacerations to extensive, complex facial injury. The management of the complicated injuries is discussed in relation to the location and the mechanism of injury. Therefore, such cases are most appropriately managed by Surgeons who have a thorough knowledge of applied anatomy, an aesthetic sense and meticulous atraumatic tissue handling expertise, coupled with surgical skill to repair all the composite structures simultaneously. We report a series of cases of complex facial wounds we put forward the difficulties associated and provide a helpful systematic approach to evaluating and treating them.