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. Author manuscript; available in PMC: 2015 Mar 26.

Published in final edited form as: Plast Reconstr Surg. 2013 May;131(5):1069–1076. doi: 10.1097/PRS.0b013e3182865cd3

This patient suffered high voltage burn injuries to the face 11 years prior. Extensive conventional reconstruction yielded the results observed in (A). Note that the patient is wearing a prosthetic nose. Oral competence could not be restored. The facial muscles of the forehead, cheeks, and eyelids were functional and therefore preserved. The allograft face was placed over the functioning facial bed, and only nerves that provide function to the lips were reconnected, yielding the results observed in (B), where 4 months after the transplant operation the patient is capable of facial expression, limited by receding swelling.

This patient suffered high voltage burn injuries to the face 11 years prior. Extensive conventional reconstruction yielded the results observed in (A). Note that the patient is wearing a prosthetic nose. Oral competence could not be restored. The facial muscles of the forehead, cheeks, and eyelids were functional and therefore preserved. The allograft face was placed over the functioning facial bed, and only nerves that provide function to the lips were reconnected, yielding the results observed in (B), where 4 months after the transplant operation the patient is capable of facial expression, limited by receding swelling.