With the improvement of living standards, patients also have higher requirements for the beauty of face and face. We should not only ensure the effectiveness of treatment, but also improve the beauty of face and face. Plastic and cosmetic repair is a repair method of facial soft tissue injury with wide range of clinical application and good repair effect, which has been popularized in our country. Because the face is exposed for a long time, it is very easy to cause skin and soft tissue damage due to a variety of factors. Once facial soft tissue injury occurs, early repair treatment will have a very important impact on future recovery. Compared with traditional surgery, cosmetic surgery has increased the proportion of facial beauty in treatment, with longer operation time, more detailed operation and more careful anesthesia selection. The degree of facial soft tissue repair and beauty of patients is closely related to surgical methods. In this paper, the related problems and development situation of plastic and cosmetic repair of facial soft tissue injury will be discussed.