Because the face is one of the most visible parts of the body, usually not covered by clothing, and a major mode of nonverbal communication, it expresses a person's feelings and reflects body image. Once the face is injured, therefore, body image associated with the face changes. This change is reflected in facial expressions. This article discusses the mental responses and body image changes in persons with a facial injury. These include changes in body structure, body function, feelings and psychological responses, and social activities. The nursing process was used to plan interventions for helping facial injured patients adapt to changes and develop positive coping responses. Telephone follow up was conducted post-discharge to provide patients with medical consultation, to help them walk through the deep blue of “girls with markings”, and to discuss returning to work.