A team of surgeons, anesthesiologists and other physicians have performed America’s first full face transplant.

The patient was a 25-year-old Texas man who had experienced severe electrical burns just three years ago. Through an incredible reconstructive procedure, he received a new nose, lips, facial skin, nerves and muscles for facial animation.

Last year, the first ever full-face transplant was performed in Barcelona, Spain. The 24 hour procedure was carried out under the leadership of plastic surgeon Joan Perre Barrett.