

He cannot get sunburn, a cold, drink alcohol or risk falling. Even a cut could trigger rejection of his face. But Richard, of Hillsville, Virginia, says he knows his story gives inspiration to thousands of others who need transplant surgery.
He was chosen for the face transplant after more than a dozen operations which attempted to give him functional use of his mouth. Richard managed to keep his eyesight, but doctors could not repair his lips, nose or the front of his tongue.
“The face transplant was one of very few options left,” says Richard.
The day-and-a-half operation involved more than 150 doctors, nurses and staff at the University of Maryland Medical Centre. When he saw his new look in the mirror for the first time, Richard was understandably overjoyed. He says: “The only thing I could do was hug the doctor.”

Experts gave him a new tongue for proper speech, eating and chewing and normally aligned teeth.
They also connected his nerves to allow him to smile.
After years of going out of his way to avoid people, Richard is now surprisingly comfortable socialising – especially with staff from the hospital. But while Richard’s results are “extraordinary” it will take time for him to recover fully.
Medical staff have the challenge of teaching Richard, who has not eaten or spoken properly for 15 years, to use his fully functional face. He will also have more minor surgery for the soft tissue of his face – such as his eyelids.
Richard’s transplant was possible thanks to 10 years of research and 22 face transplants to date.
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