Any injury involving the soft tissue and /or bone of the face and skull is known as craniofacial trauma. These injuries are as diverse in their causes as they are in their severity. Craniofacial reconstruction following trauma is different for each individual as it highly depends on the nature and location of the patient’s injuries. The first priority in any trauma patients is treating problems with airway, breathing, circulation or any other life-threatening emergencies before treating facial injuries. Over 60% of patients with severe facial trauma have other serious injuries in the head, chest, or abdomen. This high rate of additional injuries reflects the enormous forces needed to fracture human facial bones. In particular, a surgeon who is examining a patient with severe facial trauma will be particularly concerned about damage to the brain, the spinal cord in the neck, and the eyes. Of note, severe facial trauma often leads to blockage of the airway thus it is important to have a protected airway before continuing trauma resuscitation and treatment of facial injuries. The second priority in treating traumatic facial injuries is controlling severe bleeding.