‘Miracle’ transplant gives dad fresh start

The historic and ground-breaking full-face transplant conducted at Brigham and Women’s Hospital was aimed at giving hope to scores of severely battle-scarred soldiers of the Iraq and Afghan wars — but it also has given a brave little girl a daddy with a face.

A trailblazing team from Brigham and Women’s Hospital successfully completed the nation’s first complete-face transplant on a Texan left deformed by a high-voltage line accident. The only other full-face transplant was performed in Spain last year.

Dallas Wiens, 25, of Fort Worth underwent more than 15 hours of surgery last week by teams of doctors who worked to attach an anonymous donor’s nose, lips and skin, linking the donor’s facial muscles and nerves to his. The surgery was financed by the Department of Defense, which wants to develop ways to help disfigured soldiers.

“It’s a miracle, and he is determined to get well and make something of his life,” said Wiens’ grandfather, Del Peterson, who accompanied him to Boston. “His faith, and his will to live, and his youth kept him going.”

He also credits Wiens’ daughter, Scarlette, now 4, who was not yet 2 years old when he was injured, as a big reason to live after his world went dark.

“She’s the joy of his life,” Peterson said. Three years ago, doctors at the Parkland Hospital emergency room in Dallas told Wiens’ family he probably wouldn’t live.

“His whole face was gone, right down to the bone, and they called us in to say our goodbyes,” Peterson said. Wiens not only refused to die, he insisted on being with his little girl.

“The hospital introduced her to his injuries before she was 2, after they connected her with a child psychologist. The hospital said she wouldn’t recognize him, but Dallas said, ‘No, she’ll recognize my hands,’” Peterson said. Sure enough, he said, “Before she came in the room, he put his hands on his chest, and she said, ‘Those are Daddy’s hands!’ ”

Scarlette, back home in Texas, hasn’t seen her daddy’s new face, which remains swollen as he recovers. It could be months, but yesterday Wiens chatted with her by phone. With her youthful experience, the family isn’t worried this time that Scarlette won’t know her dad.

“I can recognize him through his personality and sense of humor,” Peterson said. “He’s determined to get well and make something of his life. He wants to go to college, and he has a lot of different interests.

“And I imagine that he’ll help other sightless people, too,” Peterson said.

Wiens already has. The Brigham and Women’s program that gave him a new face received a $3.4 million grant from the Department of Defense.

Facial transplant surgery remains in its infancy, with a few high-profile cases in France, Spain and the United States, while other patients wait, such as Charla Nash, the Connecticut woman mauled by a chimpanzee, a potential candidate for surgery at the Brigham.

Col. Janet R. Harris, a registered nurse with the Army Corps of Nurses, said yesterday that battlefield medical care has improved so much that there are as many as 100 American war veterans who might benefit from similar surgery.

“Many wouldn’t have survived before,” Harris said. “Eventually, we hope that this will move out of research and into the standard of care. We want to make sure our wounded warriors get covered . . . and get well.”