Objective To explore the effect of high quality nursing on patients with emergency cosmetic repair of facial soft tissue injury. Methods A total of 72 patients with emergency cosmetic repair of facial soft tissue injury admitted to our hospital from February 2022 to February 2024 were selected as the research objects. They were divided into control group and observation group by random number table method, with 36 patients in each group. The control group was given routine nursing, and the observation group was given highquality nursing. The pain degree, rehabilitation time index, complications, adverse emotions and satisfaction of the two groups were compared. Results The VAS score of the observation group was lower than that of the control group (P <0.05). The time of wound healing and postoperative pain in the observation group was shorter than that in the control group (P <0.05). The incidence of complications in the observation group was 5.56%, which was lower than 25.00% in the control group (P <0.05). The scores of SAS and SDS in the observation group were lower than those in the control group (P <0.05). The satisfaction rate of the observation group was 97.22%, which was higher than 75.00% of the control group (P <0.05). Conclusion For patients with emergency cosmetic repair of facial soft tissue injury, high quality nursing intervention can help to speed up the healing of injury, shorten the course of disease, prevent complications, and improve bad mood and satisfaction. It is worthy of clinical application.