United States Department of Veterans Affairs

TSGLI Loss Standards

16. Facial Reconstruction

When a member suffers a severe maxillofacial injury, the member is eligible for a TSGLI benefit for facial reconstruction if the member meets the following standard:


If the member undergoes... AND a surgeon certifies that...

Surgery to correct traumatic avulsions of the face or jaw that cause discontinuity defects.

A traumatic avulsion is a forcible detachment or tearing of bone and/or tissue due to a penetrating or crush injury.

A discontinuity defect is an absence of bone and/or tissue from its normal bodily location, which interrupts the physical consistency of the face and impacts at least one of the following functions: mastication, swallowing, vision, speech, smell, or taste.

illustration of facial regions

The surgery was to correct discontinuity loss to one or more of the following facial areas:

  • the upper or lower jaw,
  • 50% or more of the cartilaginous nose,
  • 50% or more of the upper or lower lip,
  • 30% or more of the left or right periorbita,
  • 50% or more of any of the following facial subunits:
    • forehead,
    • left or right temple,
    • left or right zygomatic,
    • left or right mandibular,
    • left or right infraorbital
    • chin

Reviewed/Updated Date: April 14, 2023