Facial burn reconstruction is one of the most challenging problems a plastic surgeon encounters. As much as 80% of the morbidity of burn injuries results from burns to the face and hands. Head and neck burns affect approximately 50% of the patients admitted to burn centers, the majority of which are partial thickness, and they heal well without surgical intervention [1, 2]. Facial reconstruction should be an integral part of the acute management of facial burns and should continue throughout the patient’s hospital stay and the rehabilitation process. The goal of this chapter is to provide an overview of the assessment, management, and ultimately reconstructive principles and approaches involved with facial burns.