Acid attacks leave behind scars on flesh and psyche of the individuals and thereby shatter lives with a devastating duality. This chapter explores the profound and enduring impact of this trauma through multiple lenses: clinical, social constructivist, gender informed and human rights. The chapter highlights the physical pain, the psychological wounds, and the social ramifications that leave a long-lasting impact on the lives of the survivors. The immediate aftermath of the acid attack is marked by agony. Burning flesh, disfigurement, and permanent sensory loss are brutal realities that affect the physical well-being of acid attack victims. Clinical frameworks meticulously document the medical challenges including reconstructive surgeries, chronic pain management, the ongoing battle against infections and even psychological disorders. Despite that they struggle to fully capture the lived experiences of acid attack survivors. Trauma frameworks rooted in social constructivism offer insights into the role of societal stigma, social isolation and exclusion in the trauma of acid attack. Human rights perspective sheds light on the violation of fundamental rights to security and bodily integrity. Thus, highlighting the systemic injustices faced by survivors. In conclusion, the physical and psychological impacts of acid attack trauma are intricately woven together. Recognizing and addressing this duality is crucial for designing holistic support systems for survivors.