The advances in burn medicine have brought an increase in the survival rate of extensive burn patients. However, unf4ortunately, the increase in survival from severe burns is not directly connected with the happiness of the patients. According to our data, only 25% of the patients whose BSA was more than 30% could recover their original position after the discharge from the plastic surgical ward (Aoki R, Nessho 20(2):64–71, 1994). Most of them had to live on social welfare because they could not obtain jobs due to their appearance. Plastic and reconstructive surgery could help mainly functionally. For those who had injured extensively, as the donor sites for skin grafting or flaps were very limited, the aesthetic results were not satisfactory. So we introduced the makeup therapy combined with plastic and reconstructive surgical treatments.