First Full Face Transplant in the US: Years in the Making

The first successful full face transplant in the United States was an incredibly important step for reconstructive surgery in this country. Performed on Dallas Wiens, a young construction worker critically burned in a power line accident, underwent this procedure to restore his nose, skin, lips, facial muscles and nerves from an unidentified donor at a Boston hospital. Since 2005, there have been 6 partial face transplants and 3 full facial transplants around the world, with Mr. Wiens being the most recent.

What has received little attention during this event is the careful preparation that was required in order to make this a reality. The techniques involved are actually not new. Microvascular and nerve surgery procedures are routinely used by plastic surgeons nearly everyday. The fact that the grafted tissue was provided by an unrelated deceased donor (not the patient’s own tissues) thus requiring lifelong anti-rejection drugs also was not new, as it is done in organ transplant every day. The trouble encountered when this procedure was first contemplated was mostly ethical. Is it acceptable to perform a face transplant? The face, it was argued, was not essential for life in the same sense as a heart, liver or kidney. Wouldn’t these patients be risking their lives for something that came down to simple human vanity?

These questions were not difficult to answer by any plastic surgeon that has treated these poor souls who suffered a catastrophic loss of the facial tissues. Although these tissues together form our external appearance and provide our unique social identities, they also perform vital functions such as protection of our eyesight, oral competence, and airway protection. It is difficult to understand the impact on someone’s life when all of these functions are lost. Despite our best reconstructive efforts, these massive defects are not satisfactorily repaired since the specialized tissues needed do not exist on other parts of the body. The only options for these people involve looking to human donors for these special tissues.

It is not hard to imagine the reluctance of the general public to a procedure of this type. There was real concern that the pool of organ donors may shrink, as someone may be afraid that they would be signing up for something more personal than donating just an organ after death. This could impact our already short supply of needed organ donations. Certainly an individual may take pause at the prospect of someone else living with their face. Would the recipient look like the donor? Images of Hollywood movies such as “Face/off” come to mind. As our appearance is due to many more factors than just the soft tissues of our faces, at this point it seems likely that there is little to no chance of the recipient looking like the donor.

It was very generous of Mr. Wiens to share his experience with the world. We were all able to see his result and hear the story in his own words. Although the face transplant procedure is still in its early stages and still in many ways experimental, the experiences of individual patients such as Mr. Wiens are essential in evaluating its impact on the treatment of the catastrophic loss of the face and its functions.

More information:

MSNBC: “Texas man gets first full face transplant in US
BBC News: First Full Face Transplant in Spain

Dr Franckle

Meet Dr. William Franckle Board Certified Plastic Surgeon

We know that you have many options when choosing a plastic surgeon. Dr. Franckle and his staff are dedicated to providing you with a caring and professional surgical experience. Time and time again our patients credit Dr. Franckle’s expertise and the kindness of our staff as the reason for choosing our practice. Dr. Franckle is board certified by the American Board of Plastic Surgery (ASPS), the only board recognized by the American Board of Medical Specialties to certify surgeons in the practice of plastic surgery. Attention to detail, meticulous skill, and an artistic eye make Dr. Franckle an expert in such procedures as rhinoplasty (nose job), breast augmentation (breast implants), abdominoplasty (tummy tuck), facelift, and non-surgical treatments (Botox and injectable fillers).

Dr. William Franckle Testimonials
@wfrancklemd

Breast Augmentation⁠
Before & Afters by yours truly! ⁠

Dr. Franckle focus on what works for your body and composition. Women who desire larger breasts may choose to have breast implants (breast augmentation plastic surgery). Breast implants can restore the volume lost following breast feeding or weight loss. Breast enlargement may also be helpful for women who have one breast that is noticeably smaller than the other. Breast enlargement plastic surgery is intended to give the patient larger and more shapely breasts. A more positive self image may also result from breast enlargement surgery.⁠


#plasticsurgery #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #breastaugmentation #breastreduction #selfcarefirst #breastimplants #womensplasticsurgery #botox #voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle #plasticsurgeryinstagram #beforeandafter #implants #plasticsurgeryreels #plasticsurgeon
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Rhinoplasty 👃🏻⁠

A rhinoplasty, often referred to as a nose job, can help to balance the size, shape, and symmetry of the nose. Dr. William Franckle is a board-certified surgeon with years of experience helping patients achieve subtle, natural-looking results. Learn more about if you are an ideal candidate for this procedure, as well as surgery options and recovery information.⁠

#plasticsurgery #nosejob #rhinoplasty #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #buttlift #breastaugmentation #breastreduction #selfcare #breastimplants #liposuction #necklift #facelift #womensplasticsurgery #voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle
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Happy Monday! Put yourself first and prioritize what makes you happy 💌⁠


#plasticsurgery #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #buttlift #breastaugmentation #breastreduction #selfcare #breastimplants #liposuction #necklift #facelift #rhinoplasty ⁠#buttenhancement #womensplasticsurgery #tummytuck #invertednipplerepair #botox #voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle
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⭐️⭐️⭐️⭐️⭐️⁠

I had the typical mom pouch and with more weight loss the worse my stomach became. I was referred to Dr Franckle by a friend. I was extremely nervous and had second thoughts. Everyone there was kind and answered all questions. It’s has been a year and I can’t tell you how worth it and how great it is to wear a bikini again!!! And the pain was not terrible at all!!!⁠

-Patient, Google review ⁠


#voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle #happypatients #plasticsurgery #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #buttlift #breastaugmentation #breastreduction #selfcare #womensplasticsurgery #testimony
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❗️FALSE❗️⁠

“Plastic surgery” and “cosmetic surgery” are not the same thing. Due to a misunderstanding, the public has misconceptions regarding the two specialties. Cosmetic surgery is surgery to improve one’s appearance. It is an elective course that focuses on beauty aesthetics. Cosmetic surgery refers to procedures that improve a person’s appearance. On the other hand, plastic surgery encompasses both cosmetic procedures and reconstructive surgeries; such as burn treatments and correcting birth defects. Also, the training for plastic surgeons is much more rigorous than for cosmetic surgeons. Plastic surgeons have to go through years of extensive training in order to become board certified. We even have specifically separate centers and clinics for cosmetic surgery.⁠


#voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle #happypatients #plasticsurgery #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #selfcare #womensplasticsurgery
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Procedure Variations and Steps❗️❗️⁠

Before undergoing any cosmetic procedure, your plastic surgeon should have a variety of recommendations. Patients should cease smoking, avoid taking any blood thinners, and increase water intake prior to surgery. When it comes to the day of your procedure, there are some important details you should be aware of. First and foremost, there’s anesthesia. This is crucial for your comfort during the procedure. Your surgery requires medications that can include intravenous sedation or general anesthesia depending on your preference. If you’re looking for further procedures to enhance your facelift, many patients consider undergoing various procedures in one session. These may include facial implants, soft tissue augmentation, resurfacing techniques, or wrinkle reduction with injection of fat or fillers.⁠


#plasticsurgery #surgery #cosmeticsurgery #boardcertified #faceinjections #nonsurgical #noninvasive #selfcare #liposuction #necklift #facelift #womensplasticsurgery #botox #voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle #happypatients
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What Is Breast Implant Removal?⁠

Breast implant removal is sought by women who would like to return to their natural bust size or have had complications with their implants. During the procedure, Dr. Franckle will remove the implants and—when possible—use the same incisions from the initial breast augmentation to avoid additional scarring.⁠


#voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle #happypatients #plasticsurgery #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #breastaugmentation #breastreduction #selfcare #breastimplants #womensplasticsurgery #invertednipplerepair
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While we always hope to keep our prices down, in order to continue providing you with top quality treatment, we need to implement a slight price increase on Botox Cosmetics.⁠

Our REFRESH VIP Members will enjoy their discounted pricing at $13/per unit for Botox.⁠

#voorhees #voorheesnj #cherryhill #cherryhillnj #nj #newjersey #southjersey #njplasticsurgeon #franckleplasticsurgery #drfranckle #happypatients #plasticsurgery #boardcertified #njplasticsurgery #faceinjections #nonsurgical #noninvasive #womensplasticsurgery #botox
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William Franckle, MD., FACS

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