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Facial Injury

Guide

How to document a facial injury

Facial injury claims are won on documentation created while the injury is healing. None of it can be recreated afterward, and most people take a few phone snapshots and stop.

Published July 27, 2026 · Last reviewed July 30, 2026

The photographic series

You want a comparable series, which means consistency matters more than image quality.

  • Start at the emergency room, before repair if anyone can manage it
  • Then daily for the first week, weekly for two months, monthly after that through the first year
  • Same three angles every time — straight on, left profile, right profile
  • Same lighting and roughly the same distance. Natural indirect light beats flash
  • Neutral expression in one frame, then normal expression — some scars only distort in movement
  • Include a ruler or a coin for scale in at least some frames
  • Keep the original files with their metadata. Don't rely on images sent through messaging apps, which strip data and compress

The medical record

Get and keep everything: emergency records, operative reports, imaging, every follow-up note, and every referral.

The critical documents are the ones addressing permanence and the future. Ask your surgeon directly whether the scarring or deformity will be permanent, what revision options exist, what improvement is realistic, and what it costs. Ask for that in writing. A future treatment plan with costs is the difference between a claim that covers what's happened and one that covers what's coming.

Also make sure sensory changes get documented. Numbness is frequently mentioned once and never recorded, and permanent nerve damage that isn't in the chart effectively doesn't exist for claim purposes.

The journal

A short contemporaneous record of the daily impact carries real weight, precisely because it was written before anyone was preparing for litigation.

Note what changed: things you stopped doing, how you position yourself in photographs, reactions from strangers or children, what you avoid, how you sleep, and how long it takes to get ready. A few lines a week is plenty. Date every entry.

Mistakes that cost value

The common ones are avoidable.

  • Settling before the scar has matured
  • Posting about it on social media — insurers look, and a smiling photograph gets used out of context
  • Gaps in treatment, which get argued as evidence you weren't really affected
  • Not treating the psychological impact, which leaves a real injury undocumented
  • Giving a recorded statement early, before you know the extent of the injury
  • Losing the before-photographs
  • Not photographing the early stage, which is when the injury looks worst and most clearly establishes severity

Questions

Should I stop posting on social media?

At minimum, lock accounts down and stop posting about the injury, your activities, or your recovery. Insurers routinely review social media, and a photograph where you look happy at a party gets presented as evidence you're unaffected regardless of how you actually felt that day.

My doctor won't say whether it's permanent.

Early on that's a reasonable position — permanence genuinely can't be assessed until the scar matures. Ask again at twelve months and ask specifically for an opinion on permanence and revision options. If they still won't, a consultation with a plastic surgeon for that purpose is normal and appropriate.

I didn't take any photos early on. How bad is that?

It costs you, but the medical record contains descriptions and often clinical photographs, and hospitals frequently photograph significant facial injuries. Request the complete record including any imaging and photographs. Start your series today regardless — a series from month two forward is still worth having.

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