The outbreak of the COVID-19 epidemic has led to a large number of waste disposable medical face masks (DMFMs) worldwide, which seriously pollute the environment and threaten human health. In this paper, waste DMFMs were recycled as mask fiber and mixed into self-compacting recycled aggregates concrete (SCRAC) to form a mask fiber reinforced self-compacting recycled aggregates concrete (FRSCRAC). The effects of recycled coarse aggregate (RCA) replacement ratio, DMFM fiber content, and length on the working and mechanical properties of FRSCRAC were investigated. The results show that the specimens meet the requirements of self-compacting concrete (SCC) in terms of working and mechanical performance, but the RCA and DMFM fiber could reduce the workability of the FRSCRAC, and the higher the amount of RCA and DMFM fiber, the more obvious the reduction. At the same time, the mechanical properties of FRSCRAC increased as the decreasing RCA replacement ratio and growing DMFM fiber content. Compared with specimens without DMFM fiber reinforcement, the compressive strength, split tensile strength, flexural strength, and elastic modulus were increased by 1.3%-9.6%, 1.46%-8.6%, 24.4%-54.69%, and 0.65%-4.73%, respectively. Moreover, the reduction of the DMFM fiber length is favorable to the mechanical properties of FRSCRAC as well. Furthermore, the X-ray CT and scanning electron microscope (SEM-EDS) techniques were applied to analyze the microstructure of typical specimens. The results showed that the DMFM fiber and surrounding mortar could form a multiphase composite, which reduces the porosity and improves interfacial stress transfer efficiency, thus enhancing the mechanical properties of FRSCRAC. In addition, based on the experimental results, the mechanical strength index of FRSCRAC and the calculation formula of its mutual conversion relationship were proposed. The research conclusions of this paper can provide a reference for the application of waste DMFM fibers in FRSCRAC.