Introduction: Facial trauma can involve hard and soft tissues, ranging from simple skin wounds to massive destruction of the craniofacial complex.

The etiology of facial trauma is varied: car accidents, violence and falls are the most frequent factors.

The surgeon with a multidisciplinary team is responsible for preventing or at least minimize the functional and aesthetic sequelae caused by trauma.

Purpose: To present cases of highly complex facial trauma patients who has required multiple surgeries to achieve complete rehabilitation.

Patients and methods: The treatment in these patients starts with emergency procedures and is followed by several surgeries in order to establish territories anatomically suitable for functional rehabilitation of them.

Results: Successive treatments were performed and controls have improved the function, aesthetics and quality of life for these patients.

Conclusion: The highly complex facial trauma requires immediate surgical treatment and long term follow up, which is essential to involve the maxillofacial surgeon and patient compliance.

Conflict of interest: None declared.