No other part of the body is as conspicuous, unique, or aesthetically significant as the face. Because an individual's self-image and self-esteem are often derived from his or her own facial appearance, any injury affecting these features requires particular attention. Too many people present to emergency departments for treatment of traumatic facial injuries each year. Most of these injuries are relatively minor soft tissue injuries that simply require first-aid care or primary closures. Historically, severe facial trauma often resulted in cosmetic and functional defects; however, recent advances in the science of reconstructive surgery and in the management of trauma patients have significantly improved the morbidity and mortality of patients with facial traumatic injuries. The main cause of facial injuries is secondary to Motor vehicle accidents; 50-70% of patients with facial injuries will have injury to other systems. Males have a higher propensity for facial trauma. A proper approach to such cases includes history taking, assessment of the general condition of the patient, vascular and skeletal assessment then assessment of the wounds in terms of site, size, areas involved and the need for debridement or not. The therapeutic Goals are to restore the function, restoration of the aesthetics, tissue defects and reduction of scarring. The management should be done in a proper timing, wounds should be irrigated with saline, remove any lodged foreign body, use of a good antiseptic, with proper anesthesia, repair of wounds in layer with a proper suture material and technique, removal of suture in proper time and follow up for three months. The protocol of management is very important and should be known to all surgical practitioners. In this study we have tried to manage soft tissue facial injuries following the reconstructive ladder aiming to reach the best results and achieving the best functional, esthetical and satisfying outcome after recognition and repair of associated injuries.