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This paper draws on both clinical and literary examples as a means of comparing and contrasting the notion of stigma within the framework of the author’s clinical experience in a maxillofacial surgery department. While the socio-cultural approach to facial monstrosity is intimately linked to the question of stigmatisation, the psychoanalytical perspective sheds light on the paradoxically structural stakes at play in how the psyche functions, thus serving to underline the visageification carried out by the therapist.