This site uses cookies to store information on your computer. I'm fine with this Cookie information
Follow is on Twitter Like us on Facebook Follow us on Instagram
COVID-19 (Coronavirus info)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

The 'Wonder' of Changing Faces is Changing Lives

Tuesday, February 13, 2018

The recent Hollywood blockbuster ‘Wonder’ starring Julia Roberts, Owen Wilson and Jacob Tremblay tells the story of a child born with a facial disfigurement and his struggle trying to fit in with other children. 

The films brings to life how children with a visual difference such as a disfigurement, burn scars, birth marks, skin conditions or scars that affects their appearance are often ignored, bullied, harassed or victimised by other children. 

These attitudes impact not only on the child or young person but the whole family. However, a new role at the Royal Hospital for Children (RHC) is providing children and young people with a disfigurement with additional help, advice and support. 

Fiona McLeod is currently the only Changing Faces Practitioner in Scotland.  Based at the RHC as part of the Paediatric Clinical Psychology Service, she is providing children who have a visual difference with support, advice and information to develop their self esteem and confidence in dealing with the complex medical and psychosocial difficulties they face due to society’s pressure on appearance. 

Fiona’s role is to support children and young people with visible differences.  Whether it is: 

  • children or young people with dermatological conditions such as eczema, birth marks, acne or epidermolysis bullosa (EB);
  • craniofacial conditions such as Apert syndrome (a genetic disorder characterized by the premature fusion of certain skull bones);
  • burns or scars acquired from an accident either early in life or later in adolescence;
  • young people referred from plastic surgery for issues related to surgery, change in appearance following an accident, or conditions such as radial dysplasis or congenital shortened fingers. 

By working with the child, their families and other health professionals, Fiona is able to offer children a better understanding of their condition and to explore their feelings about it.  She works with the children to develop new ways for them to manage other people’s reactions and social situations effectively, build their confidence and allow them space to consider treatment options outwith the medical setting. 

Fiona is often involved in liaising with schools regarding the impact of visible difference by helping to enhance teachers’ knowledge and support to the young person and promoting an environment of inclusion and equality. 

Fiona said:  “Around half of children with a disfigurement have experienced bullying which can have a devastating effect on their lives affecting their mental health and wellbeing. 

“My role is to offer psychosocial support to children, young people and their families in dealing with the complex medical and psychosocial difficulties they face with respect to the appearance of the child or young person.   

“Seeing the resilience that many of these children have facing difficulties and managing their conditions, which can impact greatly on their everyday lives, is inspiring and I am privileged to be part of their journey.” 

Sue Robinson is a Consultant Clinical Psychologist and leads Paediatric Clinical Psychology Service including Fiona’s role.  She has seen the affect a disfigurement can have on a child’s life. 

This can include being ostracised and discriminated against in school, leading to difficulty making friends and feeling isolated and inferior.  These children are at greater risk of mental health difficulties and are known to be vulnerable to experiencing low mood, social anxiety, poor self-confidence and low self-esteem. 

Sue is delighted that children will benefit from a dedicated Changing Faces Practitioner who can provide additional support and advice.  This is not only for the child and their families, but to also work alongside other professionals in increasing their understanding of the psychosocial issues affecting young people with a disfigurement and ways to best support them. 

She said:  “Our medical, nursing and allied health professional colleagues all provide emotional support to children and young people with disfigurements and their families.  The introduction of the Changing Faces Practitioner post enhances this care by offering timely, tailored help utilising the Changing Faces package of support, which has already been used successfully in other health settings across the UK. 

“This is helping large numbers of children and young people to deal with the effects that living with a visible difference can have on daily life. 

“By assisting these children and families early in managing their circumstances better, their potential need for more specialist psychological support in the future is reduced.” 

Fiona came into the post last February and is collaboration between NHS Greater Glasgow and Clyde and Changing Faces, the UK’s leading charity for everyone who has a mark, scar or condition that makes them look different. 

 Initial funding for the post was provided through the Big Lottery in Scotland via Changing Faces. However, the post will continue through dedicated funding from NHS Greater Glasgow and Clyde. 

Rob Murray, Changing Faces Scotland Manager, said:  “We are delighted by the forward-thinking approach NHS Greater Glasgow and Clyde have taken to supporting children, young people and their families who have a scar, mark or condition which alters their appearance. 

“Having a dedicated Changing Faces Practitioner within the Royal Hospital for Children gives children the opportunity to get the support, advice and information they need to live the life they want. 

“This work is groundbreaking and we thank the Big Lottery in Scotland for their confidence in this model and indeed Sue Robinson and her team.”


Notes to editors

To listen to Fiona explain her role visit 

For further information either telephone 0141 201 4429 or email [email protected]

Pic:  13 year Marcus with Wonder star Jacob Tremblay provided courtesy of the Changing Faces Charity


Search by :

Keyword :

Start Date :

End Date :

Last Updated: 11 November 2021