What Face Transplants Can, Can't Do - SanTanValley.com

What Face Transplants Can, Can't Do

What Face Transplants Can, Can't Do

Charla Nash before and after

Face transplants are in the news now that a woman mauled by a chimp underwent the procedure. WebMD explains what a face transplant is and what happens before, during, and after surgery.

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Charla Nash before and after

What, exactly, is a face transplant?

The question is being asked anew with the release of dramatic before-and-after images of Charla Nash, the Connecticut woman mauled by a chimpanzee and the latest person to receive a face transplant.

Some 17 people in the world now have undergone the experimental and still misunderstood procedure, says Maria Siemionow, MD, PhD, director of plastic surgery research at the Cleveland Clinic.

Siemionow, who led the team that performed the first U.S. face transplant, says that in one way, a face transplant is like a kidney transplant: It comes from a human donor.

"But a face you can see and a kidney you cannot," Siemionow tells WebMD. "So this becomes much more of an issue. The face has many arteries, veins, muscles, and nerves which have to be reconstructed to the extent they will bring back facial motion. The patient has to be able to smile, to purse the lips, to present happy expressions. This is very different from any other transplant."

Nash, who was initially under the care of Cleveland Clinic surgeons, eventually received the transplant at Brigham and Women's Hospital in Boston. She is still recovering from complications of surgery, but issued a dramatic statement thanking her doctors -- and most of all thanking the anonymous deceased woman who donated her face.

"I will now be able to do things I once took for granted," Nash says in the statement. "I will be able to smell. I will be able to eat normally. I will no longer be disfigured. I will have lips and will speak clearly once again. I will be able to kiss and hug loved ones. I am tremendously grateful to the donor and her family."

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