The three times the medical bill formula is no longer used as a hard and fast rule in a car accident case. Gory pictures of terrible scars tend to increase these damages quite a bit.
Because of this, courts make it hard to introduce gruesome pictures into evidence. But the risks of it getting placed into evidence make many adjusters want to settle quicker. Many times they pay out for a larger number.
For this reason, it is an injury that has an emotional impact on a potential juror. The argument is this will stir passion. And this helps to increase the damages award.
Adjusters don't want to risk a swayed jury giving the plaintiff a substantial verdict. So we use every argument we can to convince the adjuster to fairly settle.