In 2010, the Portuguese Institute of Statistics (INE) pointed out that 40,000 medium and large reconstructive and aesthetic surgeries are performed annually. Regardless of its etiology, a stronger focus on investigating individuals that have lost their "identity" due to trauma or disease, thus featuring a facial disfigurement, is justified. The intention of this paper to present a brief context that describes the development of the acquired facial disfigurement caused by the disease (cancer of the head and neck) or originated by trauma (burns) using published literature in books and articles scientific, also making reference to instruments validated for the Portuguese population for assessing investment body image (ASI-R) and to evaluate the self-consciousness of appearance (DAS-24). Identify the need and psychosocial issues most common type of intervention, the importance of social support and coping strategies which frequently in adjustment to acquired facial disfigurement.