A disfigurement may be an adverse change in appearance, such as a conspicuous scar, visible asymmetry, loss of an organ or another lasting or temporary alteration. The label alone is not decisive. A small change may be significant in an individual case, while a visible but minor change may not be enough.
Relevant factors include the location, size, shape, contrast, mobility and visibility of the change. A scar on the face, hands or another body area frequently visible in everyday life may have a different effect from a change that is usually covered. Covering does not automatically exclude a claim.
Under the case law, the claim does not necessarily require a permanent disfigurement. The healing process and expected development must therefore be documented. If healing is incomplete, it must be assessed whether a substantial change is already established, how likely improvement is and whether further surgery is planned.