A 25-year-old man horrifically injured by an accident involving an electric power line has received a full face transplant in the US.
It took a team of more than 30 doctors over 15 hours to give Dallas Wiens his new face.
Surgeons who carried out the operation at Brigham and Women's Hospital in Boston have hailed it a success.
It follows nearly a year to the day after the world's first full face transplant in Spain.
Mr Wiens, from Texas, was injured in November 2008 when his head touched a high voltage electrical wire. The burns erased all of his facial features.
The surgery has replaced the nose, lips, skin and muscles as well as the nerves that power them and provide sensation.
Hospital Betsy Nable said: "Today's tremendous news marks a new milestone in Brigham and Women's legacy in transplant surgery. The pioneering achievement by the entire transplant team is a gift made possible by the most selfless act one human being can do for another, organ donation."
The world's first partial face transplant was carried out in France in 2005 on a woman mauled by her dog.
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