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Surgeon Says Face Transplants a Reality

Aspherical Cow writes "A New York Times Magazine article about how a London surgeon is planning on performing an experimental full-face transplant. The face would be harvested like any other donor organ and used on a disfigured person. Lots of issues of identity come up with something like this, but they say that this won't turn Nicholas Cage into John Travolta."

51 of 248 comments (clear)

  1. FP w/useful info by jericho4.0 · · Score: 3, Informative

    FP! oh, and the link is broken. nytimes is suposed to be followed by '.com'.

    --
    "A language that doesn't affect the way you think about programming, is not worth knowing" - Alan Perlis
  2. GREAT! by Anonymous Coward · · Score: 3, Funny

    This really is good news! I want one!

    This face has a few holes in :(

  3. This is great. by Anonymous Coward · · Score: 5, Insightful

    Maybe now people like Jacqueline Saburido can have their lives restored to them.

    Oh, FP?

  4. Yup by SEWilco · · Score: 2

    Face it, it's just another body part.

  5. Correct Link by Captain+Chad · · Score: 4, Informative
    --
    Check out Chad's News
  6. Whole new meaning ... by B3ryllium · · Score: 4, Funny

    Brings a whole new meaning to the phrase "Your face, your ass - what's the difference?"

    1. Re:Whole new meaning ... by Compact+Dick · · Score: 2, Funny


      You must mean "my face, your ass."

      Oh, wait...!

  7. Identity theft? by Anonymous Coward · · Score: 2, Insightful

    Actually, I can't see how there would be any identity issues...I haven't read the article, but I can't imagine that anything would be transplanted besides the skin (and maybe some cartilage). The recipiants original bone structure would remain the same...

    1. Re:Identity theft? by ocelotbob · · Score: 2, Informative

      Well, if you had read the article, you'd learn that you're only partially right. They'd take more than just the skin -- they'd also take some of the underlying muscles and bone mass, to try to meet halfway, so to speak, in the reconstruction job. The end result would be a person who doesn't look like they used to, but doesn't look like the donor either.

      --

      Marxism is the opiate of dumbasses

  8. Comment removed by account_deleted · · Score: 3, Informative

    Comment removed based on user account deletion

  9. it's not the face .... by Anonymous Coward · · Score: 4, Interesting

    ... transplants that are going to make a lot of money.

    It's the scalp transplants that will make bazillions. Just think, you can get a whole new type of hair or just have your scalp cloned and slice out the male pattern baldness.

    I would pay for that.

  10. consequences by awing0 · · Score: 2, Interesting

    A lot of study has been put into what beauty really is. If you look at it from an evolutionary point of view, it's to show us which mates would best carry our genes.

    When you change someone's face, you can't help but wonder if you're throwing a wrench into a system thats evolved over so many thousands of years. This argument would apply not only to this, but plastic surgery and what not.

    It seams every day, medical technology is weakening the race more and more by causing people to depend on a large infrastructure to survive. At what point do you draw the line between leaving people out in the cold for the greater good or helping them?

    --
    Cthulhu Saves.
    1. Re:consequences by Anonymous Coward · · Score: 5, Insightful

      "It seams every day, medical technology is weakening the race more and more by causing people to depend on a large infrastructure to survive. At what point do you draw the line between leaving people out in the cold for the greater good or helping them?"

      This is an incredibly specious argument. Seriously, put a little thought into it. ...

      OK, now that we've determined that you aren't willing to put thought into it, I'll do it for you. Why do we have such a long lifespan and low infant mortality rate nowadays? Modern medicine. Are you saying that we should drop this entirely, just so in one million years we might be slightly more likely to mate (in a 20 year life span, with no way of caring for the infants) than we are now (assuming same conditions)?

      The greater good would be far, far worse if it weren't for this "large infrastructure". You're using the same argument anarchists use, that we shouldn't rely on a large infrastructure to live. Of course, if we get rid of the large infrastructure, we die, but at least we're independant!

    2. Re:consequences by jeko · · Score: 5, Insightful

      First, that water went over the bridge with the invention of the bandage. We are by nature the animal that defies Nature through the use of technology.

      By definition, our medical tools are part and parcel of the evolutionary process. Would you say that the birds are "cheating" because they used wings? Or that the lungfish were cheating by getting their oxygen straight from the atmosphere?

      Second, we're not thwarting evolution. We're giving the victims their life back after accidents that Nature never intended. At what point did the Discover channel do a special on "the Drunk Driver's Place in the Ecosystem?" And what natural defense do you propose we evolve to counter this risk? Adamantium skeletons?

      Third, if you've personally ever received any sort of serious medical intervention, then you're a raging hypocrite. An injection of any kind qualifies as "serious intervention." If you haven't received any serious medical attention, then you're either very young or rather sheltered. My guess would be both.

      Last, and this is the point I really want to make, WHAT KIND OF FREAKISHLY UNFEELING JACKASS ARE YOU THAT THIS THOUGHT WOULD EVEN ENTER YOUR HEAD? Most of the candidates for this surgery are burn victims who survived a perfect glimpse of Hell, only to discover that young children run screaming from them in terror now, that even their families flinch before touching them.

      Your job here is to sit down, shut up, applaud the surgeons who are dedicating their lives to alleviating suffering, and pray that nothing ever happens to you that would make you too terrified to look in the mirror.

      Although, after a post like that, I would hope you'd avoid mirrors for a while anyway out of decent sense of shame.

      --
      He put his boots up on the table and made a face. "The sig," he smirked. "You can waste your life in search of the sig."
  11. WTF? by Pettifogger · · Score: 5, Funny

    I always thought Michael Jackson pioneered this technique years ago.

    --

    IAAL

    1. Re:WTF? by jericho4.0 · · Score: 4, Funny

      He's only managed the face removal part.

      --
      "A language that doesn't affect the way you think about programming, is not worth knowing" - Alan Perlis
    2. Re:WTF? by Guppy06 · · Score: 2, Funny

      But who did he swap faces with? Liz Taylor?

  12. So how long... by shepd · · Score: 2, Funny

    Until the New U becomes possible?

    Do have to commit carousel for reminding everyone of that movie?

    --
    If you could be told what you can see or read, then it follows that you could be told what to say or think - BoC
  13. Volunteer by Timesprout · · Score: 5, Funny
    We need a GNU/Linux volunteer for a dangerous mission behind Redmond lines. Should you decide to accept this mission you will

    Quietly assinate Bill Gates

    Pop over to the nearest face transplanting clinic

    Shock the world when Bill Gates announces MS are giving up software development and releasing the source to the public

    --
    Do not try to read the dupe, thats impossible. Instead, only try to realize the truth
    What truth?
    There is no dupe
    1. Re: Volunteer by Black+Parrot · · Score: 2, Funny


      > Shock the world when Bill Gates announces MS are giving up software development and releasing the source to the public

      Bah, shock the world when Bill Gates sees how much he can spend on a weekend in Vegas!

      --
      Sheesh, evil *and* a jerk. -- Jade
  14. This will finally help people with TPS by accident · · Score: 2, Funny

    Its a condition called "torsonic polarity symdrome." It's a birth defect that I think we all know atleast one person who has it.

    You can read more about TPS here.

  15. What a shame. by Compact+Dick · · Score: 2, Insightful


    True, death is not the worst that could happen to you. But I feel she needs more than just a face transplant.

    At least it's a start.

    *sigh*

  16. Reflections in the mirror by lateralus · · Score: 5, Interesting

    I wonder how the human brain and psyche deals with seeing a different face in the mirror after years of strengthening a connection between the natural face and the "I".

    --
    If you outlaw the law, only criminals will have laws
    1. Re:Reflections in the mirror by FTL · · Score: 4, Interesting
      > I wonder how the human brain and psyche deals with seeing a different face in the mirror after years of strengthening a connection between the natural face and the "I".

      Been there. Twice.

      All I did was cut and comb my hair a different way, a style which my friend happened to have. When I looked in the mirror my brain did an automatic pattern match and confidently returned my friend's name instead of my name. A very disturbing experience.

      Recently I've grown a beard. It's been three months, and I still don't recognize myself in the mirror. At least the match comes up as 'unknown' as opposed to someone I know.

      So to answer your question: if your new face belonged to someone you knew, it will be far weirder than if it is a random face that you hadn't seen before. In the end, of course, the human brain will adapt.

      --
      Slashdot monitor for your Mozilla sidebar or Active Desktop.
    2. Re:Reflections in the mirror by nounderscores · · Score: 4, Funny

      I wish I could get my facial recognition software to display names on to my head up display. Then I'd actually know how to spell them.

      You T-800 infiltrators have all the cool tech. I bet you have that real human skin'n'hair upgrade too, while I have to walk around in rubber.

      Bloody Skynet's favourites.

  17. More info. by Compact+Dick · · Score: 3, Informative


    about Jacqueline.

    1. Re:More info. by z01d · · Score: 5, Insightful

      This retard has no right to live.

      Every human being has the right to live. and every human being made mistakes.

      To kill a person just because he killed someone, or destroied someone's life, is revenge, not justice.

    2. Re:More info. by Anonymous Coward · · Score: 2, Informative

      "Deserves death? I dare say he does. Many live that deserve death; and many die that deserve life. Can you give it to them? Then do not be so quick to judge. Even the Wise do not know all outcomes."

      Gandalf the Grey

    3. Re:More info. by jamesh · · Score: 3, Interesting

      That's a tricky one... if the other car wasn't there at that exact time, he might have made it home without incident.

      Has this ever happened to you? (you = whoever is reading this)

      If so, you're _exactly_ the same as Reggie, you were just lucky enough not to hit anyone.

      If you're going to put this guy in the gas chamber, make sure you throw in every other asshole who has ever jumped in a car with their blood full of alcohol.

    4. Re:More info. by PastorOfMuppets · · Score: 3, Interesting
      "To kill a person just because he killed someone, or destroied someone's life, is revenge, not justice."

      And how is locking someone in a cage for the rest of their life not revenge?

      --
      If you don't have anything nice to say, shut up you stupid prick.
    5. Re:More info. by Fesh · · Score: 3, Insightful

      "nobody, even God if you believe, has the right to terminate another human being's life

      A little off-topic, maybe... But I've come to to the same conclusion regarding a nation's "soverign right" to wage war...

      In other words, if it's right to pre-emptively strike another country on the basis of what it might do, then it's perfectly right for me to shoot someone in the parking lot for looking at me funny. Any reasonable being can agree that's not the case, so why the double-standard? Nations are just organisms that have people for cells, after all.

      --
      --Fesh
      Kill -9 'em all, let root@localhost sort 'em out.
  18. at least, most geeks have nothing to worry about by collapser · · Score: 4, Funny

    organ thieves wouldn't even bother

    --
    <B>note to self:</B> <I>post as html</I>
  19. I just read that article a few minutes ago. by kmellis · · Score: 4, Informative
    I was utterly astonished at the then-current results of the accompanying little web survey: Do face transplants change a person's identity? Yes and No have each received 46% of the vote.

    Why in the world does anyone think that identity depends upon someone's face? Are people really that simple-minded?

    Also, from the article:

    "Butler told me of a psychological survey that he conducted of 120 people at his own hospital, one-third of them doctors, one-third nurses and one-third laypeople. The majority answered that they would accept someone else's face if they required one. No one, however, not even his closest colleagues, said they would donate their own."
    I'm no more reluctant to donate my face for organ harvesting as I am my liver or kidneys. That is to say, I'm not reluctant at all.

    To the people who've asked about how much the recipient would look like the donor:

    "''Certainly, identity is a central issue -- 'will I look like the donor?''' he explained in a rapid-fire, silken Irish brogue. ''But what we're proposing is taking the skin envelope with or without some muscle. So if I were to transplant my face onto you, it would look much more like you than me, because the skin envelope is elastic. It would redrape around your bone and cartilage structure. The things you would have of mine are skin tone, texture, eyebrow color, beard, things of that nature. That's why what I'm doing now is establishing a database for what is essentially a matching process. You and I, for example, are reasonably well matched, but obviously. . . .'' He gestured to a dark-skinned gentleman who had just stepped up to a nearby side counter to stir cream into his coffee. ''I wouldn't transplant your face onto his.''"
    However, later in the article it's mentioned that more complicated procedured could harvest some of the cartilage and bone as well as the skin and muscle. I imagine that eventually they could probably come very close to recreating someone's face on someone else, so the idea isn't completely far-fetched. Still, though, our ability to recognize a face is still somewhat of a mystery, although it's understood that our brains put together a great many different subtle clues. My point is that even though we see faces as near monolithic and emminently identifiable structures, the truth is that even a small differences in muscle or bone structure might make a large difference in the overall recognizability of the face. So, I suspect that a surgeon would probably have to be intending to duplicate someone's face via a transplant in order to achieve such an effect.
    1. Re:I just read that article a few minutes ago. by tlotoxl · · Score: 2, Informative

      Why in the world does anyone think that identity depends upon someone's face? Are people really that simple-minded?

      Well, it's a question that alot of people intelligent people have pondered. Notably, think of the late Japanese avant-garde author Kobo Abe and his novel Face of Another in which the Abe explores the role of masks in determining self and one's interactions with society through the fictional diary of a scientist who loses his face in a horrible laboratory accident and has it replaced with a synthetic mask made based on the specifications of a stranger. The same novel was made into a movie in 1966 by the late and great director Hiroshi Teshigahara.

      Then as well of how people often feel uninhibited when they wear masks or paint their faces -- be it at a masquerade or before going to war. Having one's face replace following in accident may not be as deliberate an act, but if the new face offers anonymity and, through people's different responses to one's presence, a different view on the world, is it really so hard to believe that it might to some extent change the identity of the wearer?

    2. Re:I just read that article a few minutes ago. by kmellis · · Score: 3, Insightful
      That's a very interesting and valid observation and I am completely willing to admit that identity is closely associated, psychologically, with the face. It was unfair and arrogant of me to dismiss all such concerns as being entirely simple-minded.

      However, it was the phrasing of the question that was so provocative to me. It was very absolute: whether someone's identity is changed if their face changes. It's not a very nuanced question, and mine was not a nuanced response.

      I think I'm more astonished by this than most people would be. I certainly don't equate my own face with my identity. Not coincidentally, probably, I also am very uninterested in hiding or changing my identity in any way. My identity is my self as I see my self--all the various public versions of my self that exist in other people's minds are secondary and not of great importance to me. My conception of "self" is a self that's solidly behind my facade--the outward facing part that other people associate with me is merely contingent. It occurs to me that many or most other people probably don't think this way.

  20. What about penis transplants? by Compact+Dick · · Score: 2, Funny


    I'm serious. Is John Holmes' still available?

  21. Living with the consequences by Compact+Dick · · Score: 3, Insightful


    Perhaps the worst that could happen to him is what's happening now - that he is alive and facing the fact that he was responsible for destroying her life [mind you, she seems to me a very spirited woman. Makes me proud of humanity.]

    Do you really think he'd commit the same mistake, assuming he's well-adjusted and has a functional conscience? I didn't think so either. Every moment of the rest of his life will be weighed down by chains of misery.

    Also check out her official website.

    1. Re:Living with the consequences by leviramsey · · Score: 3, Insightful

      What sickens me is if he had been black or hispanic, he'd have been charged with two counts of murder and would be on death row right now. But because he's the star (white) football player, he gets seven years and $20 grand. If I were a Texan, I'd be pushing to have that scumbag judge impeached.

    2. Re:Living with the consequences by Compact+Dick · · Score: 4, Insightful


      You may well be right on that, but is imposing the penalty on a white justice when the penalty isn't really justifiable?

      Remember, equality means treating everyone equally, and as a non-white this is exactly what I want. Discrimination that favours non-whites will breed resentment among whites, and I wouldn't blame them one bit for that.

      Oh by the way, fuck political correctness :-)

      Cheers,
      CD

    3. Re:Living with the consequences by Pros_n_Cons · · Score: 3, Insightful

      "But because he's the star (white) football player" Oh you mean like the countless rape, murder, DUI, running down police officer, drug charges some black athelets get away with? Yeah maybe you're right.

      --

      -- "of course thats just my opinion, I could be wrong." --Dennis Miller
  22. The face is also what's behind it by tinrobot · · Score: 4, Insightful

    The underlying skeleton and musculature of a face is just as important as the skin. Someone with a square jaw will still have it, even if the translpanted face didn't... Someone who is perpetually angry will still look angry even if the donor was not...

    From the article: 'But what we're proposing is taking the skin envelope with or without some muscle. So if I were to transplant my face onto you, it would look much more like you than me, because the skin envelope is elastic. It would redrape around your bone and cartilage structure.

    The only way to truly get someone else's face on your body would be to transplant the entire head.

  23. sort of a dupe... by Anthony+Boyd · · Score: 2, Informative

    ...Slashdot discussed this already here, and that was a dupe of an even earlier discussion. Of course, these are from three or four months ago, and they were based on a different article. So it's not really a dupe, just sorta.

  24. skin grafting by The+Tyro · · Score: 4, Informative

    To a certain degree, you're right, but differences in skin do exist, depending on body location.

    Some skin is hair-bearing, some has different sweat glands, some is thicker, and some has more or fewer nerve endings. For instance, the skin on your elbows has far fewer nerve endings than the skin of the lip.

    It sounds like the surgeon is simply doing a large, complex skin graft... that's something burn surgeons have been doing for years. Burn surgeons use a device called a dermatome... in essence a large electric shaver that you can set to shave off very precise depths of skin (to thousandths of an inch) to achieve a split-thickness graft. It's worth noting that skin grafts for burn victims are often meshed to cover a larger area (if you are burned >95% of your body, there isn't much to work with, so you have to make every bit count). The cosmetic results are nowhere near normal skin, but the primary purpose of a graft in a burn patient is to reestablish the protection that intact skin gives you. Absence of skin not only makes you extremlely vulnerable to death from infection, it also causes you to evaporate off enormous amounts of fluid, resulting in rapid dehydration. Cosmesis is often secondary to simply saving a person's life... it's not pretty, but it works. If you were burned, and your ass was spared, you can be damned sure the burn surgeon would harvest the bejeesus out of your ass to cover the rest of you...

    I'd be interested to know how he's selecting his patients, and whether he'll do these transplants on smokers. There are some plastic surgeons that won't do skin grafts on a smoker, since the act of smoking can actually lower your capillary oxygen transport enough to endanger the survival of a skin graft.

    I'd also be interested in knowing the surgical technique he's planning on using to harvest the skin. Clearly he'll have to do it by hand, use a bit of microsurgery to reconnect the vessels... I can see this being a looong procedure.

    I'd probably donate my face, if someone else needed it and I didn't (I'd donate it, just like any other "organ"... and their different bone structure should destroy any resemblance).

    Now whether someone would actually *want* my face... wow, I don't know... they'd have to be pretty desperate...

    --
    Even if a man chops off your hand with a sword, you still have two nice, sharp bones to stick in his eyes.
    1. Re:skin grafting by Isldeur · · Score: 4, Informative

      It sounds like the surgeon is simply doing a large, complex skin graft... that's something burn surgeons have been doing for years.

      Um, no. But thanks for your discussion on skin types. This operation (and I believe the surgeon is Irish actually, just working in London) is much much more complex. It involves a lot more careful work, both with the placement of the folding lines as well as reattachment of the loads of muscles and nerves, including both the facial (CN VII) and trigeminal (CN V) cranial nerves.

      Burn surgeons use a device called a dermatome... in essence a large electric shaver that you can set to shave off very precise depths of skin (to thousandths of an inch)

      While I don't know the surgeon's exact approach, I am certain they are not using those razors. It's the entire facial skin they're transplanting, not shavings of it.

  25. Fun times by Kanasta · · Score: 2, Insightful

    Mr Doctor might get a visit by the US gov't on account of the millions they just spent on facial recognition software in airports...

  26. It'll never fly by Eric(b0mb)Dennis · · Score: 3, Insightful

    First of all, to even get a donor face, you'd have to take it from a dead donor (Doh, but it's not like with kidneys.. where you can give one and still live a normal.. or at least semi-normal life) And think of how reluctant the loved ones of said donor might be to transplant a face.. even though it wouldn't really be transforming him into the other guy... you can still see how a family might react..

    --
    Excuse me, I don't mean to impose, but I am the ocean
  27. Old News... by Mike1024 · · Score: 2, Informative

    Hey,

    A New York Times Magazine article about how a London surgeon is planning on performing an experimental full-face transplant.

    You know, that this is possible was announced months ago.

    I read it here first.

    Michael

    --
    "Goodness me, how unlike the FBI to abuse the trust of the American public." -- The Onion
  28. Thank You, Drive Thru by E-Rock-23 · · Score: 2, Funny

    Is this just a little bit creepy to anyone else? I mean, come on. A whole new face? That's just fucked up.

    I suppose it would have it's uses though. Michael Jackson can finally stop having his nose done, ugly girls around the world will finally have hope of getting a date to the prom, President Bush can get himself a face that doesn't look like that of a simpleton, and good ol' Osama can use this as the ultimate way to hide from us.

    Wait. Check that last statement. Honestly, how hard is it to find a 6' Arab attatched to a kidney dialysis (?sp) machine?

    I can see it now. "Yes doctor, I was thinking of the Clarke Gable look, but then I broke down and decided that I'd like to have the face of Harvey Korman. Can I get his voice, too? I've always wanted to pull off a good Great Gazoo inpression at parties..."

    --
    Blog Prophyts - Right On, Man
  29. I call dibs on.... by SoVi3t · · Score: 2

    I call dibs on Joe Millionaire's face....that way I can definitely get some women!!

    --
    Defender of Microsoft and Communism!!!
  30. Temporary face transplantation 7,000 years old by Ilan+Volow · · Score: 2, Funny

    It's called beer. Drink enough of it, the ugliest face will be transplanted with that of a supermodel.

    Warning: may induce vomiting and only lasts 3 hours.

    --
    Ergonomica Auctorita Illico!
  31. The Biggest Problem by Kenneth · · Score: 2, Insightful

    I would think that a huge problem regarding face transplants would be getting the family to go along with it.

    There is a lot of importance attached to having an open casket funeral, and for a lot of people there is a significant need to see and identify the body in order to accept that that particular person is gone. An anonymous body, or an urn full of ashes just doesn't cut it for most people. Particularly when there has been a serious accident.

    Removal of the face will make such things impossible. Mourners will not be able to come and see the face of the decased, this makes it more difficult to accept.

    I had a friend of mine die in an airplane crash. I refused to believe that he was dead until I saw the body. Even then, I had trouble accepting it because although they rebuilt most of his face, it was pretty badly messed up, and they had to put sheer veils over the casket so you couldn't look too close.

    A mortitian once told me a story about someone who had died when their head was crushed. Normally this would make an open casket funeral impossible, however since this person was into motorcycles, they placed his helment where his head should go, put some black paper behind the visor, and had the casket open.

    If people are willing to go to these lengths, a facial transplant isn't going to go over too well with the next of kin all that often.

    With other organs, there is little or no distinguishable difference. Even the eyes can be donated, and the difference fixed up so that you generally can't tell. The entire face however is going to cause problems for a lot of people, and psyhological need to see the deceased one last time.

    --
    There is a civil war coming in the United States. Remember which side has most of the guns