Geriatric facial trauma is a growing concern in public health as severe trauma may produce increased psychological stress, decreased quality of life, negative effects on activities of daily living, and increased economic and social burdens. Risk factors for geriatric facial trauma include age, gender, mechanisms of injury, drug use, and alcohol use. The purpose of this cross-sectional quantitative secondary data analysis was to investigate the association between age, gender, mechanisms of injury, drug use, and alcohol use and the severity of geriatric facial trauma. The Haddon energy release theory of injury formed the theoretical foundation of the study. Pearson correlations, two way independent t test, one way analysis of variance, and multiple linear regression were used to test 8 hypotheses for independent and cumulative associations between the risk factors and the severity of geriatric facial trauma. The results of this study showed that there was a significant association between mechanisms of injury and the severity of geriatric facial trauma. Specifically, assaults were found to be associated with the greatest severity of facial trauma. This association may be due to the intimate nature of interpersonal violence and the scourge of elder abuse with the specific targeting of the face with this mechanism of injury as opposed to the others. Implications for social change include targeted primary prevention public health protocols that maintain and promote the dignity and quality of life in the geriatric population. Public health officials should be cognizant of the need to educate about prevention of the risk factors associated with the severity of geriatric facial trauma, particularly those that result from assaults such as elder abuse.