Review: How cosmetic surgery emerged from the horrors of World War I

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Review: How cosmetic surgery emerged from the horrors of World War I
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Lindsey Fitzharris' 'The Facemaker' tracks the development of plastic surgery to World War I, when weapons of war achieved a new destructive power.

,” Lindsey Fitzharris offers a fascinating medical history of the development of the discipline. Its catalyst was World War I, when modern, mechanized weapons destroyed flesh more efficiently than ever before and doctors struggled to keep up.

On the front, Valadier saw that his dental skills were needed to treat more than rotten molars. Gillies observed the dentist using bone grafts to repair injured jaws and realized they were crucial to rebuilding recognizable faces. Valadier, Fitzharris writes, “took a section of a patient’s rib and inserted it beneath the flesh of his forehead in order to reconstruct the soldier’s nose. Once the graft took hold, Valadier reshaped the skin around it.

But the face is more than a symbol; it is the basis of human communication. The visual clues sighted people take from the position of an eyebrow or the perceived sincerity of a smile are given more weight than we acknowledge. Facially injured men were not just objects of revulsion; they were cut off from normative forms of social interaction. Across Europe, the unwounded preferred that such men remove themselves from society.

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