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The Facemaker: One Surgeon's Battle to Mend the Disfigured Soldiers of World War I Hardcover – 7 Jun. 2022
THE INTERNATIONAL BESTSELLER
Best Books of the Year, Guardian
The poignant story of the visionary surgeon who rebuilt the faces of the First World War's injured heroes, and in the process ushered in the modern era of plastic surgery
From the moment the first machine gun rang out over the Western Front, one thing was clear: mankind's military technology had wildly surpassed its medical capabilities. The war's new weaponry, from tanks to shrapnel, enabled slaughter on an industrial scale, and given the nature of trench warfare, thousands of soldiers sustained facial injuries. Medical advances meant that more survived their wounds than ever before, yet disfigured soldiers did not receive the hero's welcome they deserved.
In The Facemaker, award-winning historian Lindsey Fitzharris tells the astonishing story of the pioneering plastic surgeon Harold Gillies, who dedicated himself to restoring the faces - and the identities - of a brutalized generation. Gillies, a Cambridge-educated New Zealander, became interested in the nascent field of plastic surgery after encountering the human wreckage on the front. Returning to Britain, he established one of the world's first hospitals dedicated entirely to facial reconstruction in Sidcup, south-east England. There, Gillies assembled a unique group of doctors, nurses and artists whose task was to recreate what had been torn apart. At a time when losing a limb made a soldier a hero, but losing a face made him a monster to a society largely intolerant of disfigurement, Gillies restored not just the faces of the wounded but also their spirits.
Meticulously researched and grippingly told, The Facemaker places Gillies's ingenious surgical innovations alongside the poignant stories of soldiers whose lives were wrecked and repaired. The result is a vivid account of how medicine and art can merge, and of what courage and imagination can accomplish in the presence of relentless horror.
- Print length336 pages
- LanguageEnglish
- PublisherAllen Lane
- Publication date7 Jun. 2022
- Dimensions16.2 x 3.2 x 24 cm
- ISBN-100241389372
- ISBN-13978-0241389379
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Review
Scholarly yet deeply moving... This is a fascinating book about a remarkable man, and of how teamwork is such an important part of good surgery. Despite the grim subject matter, it is a deeply moving and uplifting story -- Henry Marsh ― New Statesman
Careful... sensitive... [Fitzharris] has successfully pieced together the story of a team of doctors, hospital workers and patients "battling" together during the First World War to modernize reconstructive plastic surgery... Fitzharris constructs a variegated and tender account of the First World War, its brutality and its narratives of human redemption... Tenderness and pathos pervade the personal stories of surgery and recovery, as well as Fitzharris's engagement with the ethics of facial difference and display -- Christine Slobogin ― TLS
The Facemaker is an engaging biography of a masterful surgeon as well as a heartening account of medical progress ― Economist
Meticulously researched... Five stars -- Catharine Arnold ― Telegraph
Sometimes distressing, sometimes thrilling, The Facemaker had me gripped; it is elegantly written and endlessly fascinating. Employing just the right balance between diligent research and ingenious reanimation, Fitzharris brings to life a neglected slice of medical history, telling both Gillies' story as well as that of many of the men whose faces - and lives - he saved -- Lucy Scholes ― Financial Times
Engrossing... Fitzharris presents an intensely moving and hugely enjoyable story about a remarkable medical pioneer and the men he remade -- Wendy Moore ― Guardian
A skilled storyteller, Fitzharris takes the reader back to the front, making them trudge and slide through mud filled with missing limbs to find the people who stagger into Gillies's casebooks... Properly contextualised, these faces become not objects of horror or surgery, as they have been all too often used, but pathways into understanding what it is to lose a face, and with it, not only the ability to eat, drink and breathe, but also social acceptance and love -- Fay Bound Alberti ― The Lancet
With rich, glossy strokes The Facemaker restores a sense of immediacy to the daily struggles facing Gillies and his colleagues as they improvised under constant pressure -- James Riding ― The Times
Out of war's most awful wounds, out of gore and terror and pain, Lindsey Fitzharris has - like Sir Harold Gillies himself - crafted something inspiring and downright miraculous. I cannot imagine the sweat and sleuthing and doggedness that went into gathering the details and building the narratives of these men's struggles. This book is riveting. It is gruesome but it is also uplifting. For as much as there is blood and bone and pus in these pages, there is heart. As Fitzharris shows us, the scalpel is mightier than the grenade, and the pen is mightiest of all. What a triumph this book is -- Mary Roach
Like Harold Gillies himself, Lindsey Fitzharris has taken something we might think of as grim and transformed it into something beautiful. Gillies will be an unsung hero no more -- Sam Kean
Wow, what a book. Enthralling. Harrowing. Heartbreaking. And utterly redemptive. Lindsey Fitzharris hit this one out of the park -- Erik Larson, author of THE SPLENDID AND THE VILE
Here is that rare thing: a little-known story of the Great War, featuring a pioneering surgeon every bit as daring as the soldiers he saved. Beautifully written, illuminating, and bursting with fascinating detail, The Facemaker is a groundbreaking work that deserves its own genre: medical noir. You won't be able to put it down -- Karen Abbott, author of THE GHOSTS OF EDEN PARK
I was an admirer of Fitzharris's award-winning first book, The Butchering Art, about Joseph Lister. This is her absorbing account of another surgeon: Harold Gillies, who established one of the world's first hospitals dedicated entirely to facial reconstruction -- Editor's pick ― The Bookseller
Equal parts devastating and inspiring. The horrors of war are laid bare here, but the stories of each of the soldiers, doctors, nurses, and artists are incredibly poignant and fascinating. I couldn't put it down -- Jenny Lawson
An extraordinary story about a remarkable man whose work, determination and skill changed countless lives -- Peter Frankopan, author of THE SILK ROADS
Graphic yet inspiring, engaging... [Fitzharris] delivers a consistently vivid account... An excellent biography of a genuine miracle worker -- Starred review ― Kirkus
Wonderful... It was written with a clarity that I loved - although the book is packed with fascinating information, it read as easily as a novel... It is really inspiring and beautifully written -- Lucy Nathan ― Bookbrunch
A fascinating portrait of pioneering plastic surgeon Harold Gillies and the soldiers whose faces he rebuilt during WWI... Meticulously researched and compulsively readable, this exceptional history showcases how compassion and innovation can help mitigate the terrible wounds of war ― Starred Review, Publishers Weekly
Sometimes, you just know. From the moment I read The Facemaker's excellent prologue, I knew I had a book on my hands... Fitzharris is a gifted storyteller and delights in just about the right amount of detail -- Matthew Shipsey ― Irish Times
Informative... A powerful portrait of a gifted man -- Oliver-James Campbell ― New Scientist
The Facemaker conveys the emotional, physical and psychical effects of having an injured and altered face, directly from those who had to deal with them... Powerful -- Sharrona Pearl ― Washington Post
In The Facemaker, Fitzharris rescues another vital yet largely forgotten figure from history. Blending scrupulous research with a novelist's eye, the author charts Gillies's extraordinary contribution to reconstructive surgery and weaves in touching accounts of the soldiers he treated. Stark and occasionally unsettling, the book reveals Gillies as both a craftsman and an artist, and underlines how by restoring the faces of the maimed Gillies was also restoring their lives and identities -- Brendan Daly ― Business Post
Vividly thrilling ― Nature
The depth of research that Lindsey Fitzharris has undertaken is truly laudable: the book is absolutely packed with historical information, key facts, quirky historical asides and, of course, coverage of the medical history and developments... Addictive and memorable ― Family History
From the Back Cover
In The Facemaker, award-winning historian Lindsey Fitzharris tells the astonishing story of the pioneering plastic surgeon Harold Gillies, who dedicated himself to restoring the faces - and the identities - of a brutalized generation. Gillies, a Cambridge-educated New Zealander, became interested in the nascent field of plastic surgery after encountering the human wreckage on the front. Returning to Britain, he established one of the world's first hospitals dedicated entirely to facial reconstruction in Sidcup, south-east England. There, Gillies assembled a unique group of doctors, nurses and artists whose task was to recreate what had been torn apart. At a time when losing a limb made a soldier a hero, but losing a face made him a monster to a society largely intolerant of disfigurement, Gillies restored not just the faces of the wounded but also their spirits.
Meticulously researched and grippingly told, The Facemaker places Gillies's ingenious surgical innovations alongside the poignant stories of soldiers whose lives were wrecked and repaired. The result is a vivid account of how medicine and art can merge, and of what courage and imagination can accomplish in the presence of relentless horror.
About the Author
Product details
- Publisher : Allen Lane; 1st edition (7 Jun. 2022)
- Language : English
- Hardcover : 336 pages
- ISBN-10 : 0241389372
- ISBN-13 : 978-0241389379
- Dimensions : 16.2 x 3.2 x 24 cm
- Best Sellers Rank: 229,815 in Books (See Top 100 in Books)
- 144 in Surgery (Books)
- 345 in Family & Lifestyle Surgery
- 729 in History of Science (Books)
- Customer reviews:
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Customers find the book well-written and informative about the evolution of facial surgery from World War I to World War II. They appreciate the author's empathy and compassion for his patients. The book is described as sympathetic and poignant, highlighting hope and resilience.
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Customers enjoy the writing quality of the book. They find it a good read about the evolution of facial surgery from World War 1 to World War 2. The author's writing style is described as superb, beautiful, and great. Readers appreciate the detail, language, and graphic storytelling.
"...It’s very well written, and sympathetic, both to the staff of the hospitals, and the soldiers themselves...." Read more
"...I was not disappointed. It is well researched and beautifully written, bringing Gillies' character to life, as well as his deep compassion for his..." Read more
"Excellent if heartbreaking tale. Very good and graphic" Read more
"Superbly written chronicle of the evolution of facial surgery from ww1 to ww2 and beyond...." Read more
Customers find the book informative and well-researched. They say it brings its subjects to life and is sensitively written. The book is poignant at times, detailing horrific injuries.
"...I was not disappointed. It is well researched and beautifully written, bringing Gillies' character to life, as well as his deep compassion for his..." Read more
"...For the price, it will be the best and most informative read to date. So don’t just take my word for it - order your copy now." Read more
"...It is really well written and gives a fascinating insight into a well documented period of history...." Read more
"Deeply informative and sensitively approached book about a subject that doesn't get nearly enough attention...." Read more
Customers find the book sympathetic and poignant, with deep compassion for the patients. They describe it as a wonderful, sensitively written book about hope and resilience.
"...and the awfulness that was the Great War – but primarily it’s a book about hope, and kindness, of pushing the boundaries of what can be done, and..." Read more
"...life, as well as his deep compassion for his patients, positive attitude towards recovery and obsessive determination to make a difference...." Read more
"Quite sad and poignant at times detailing the horrific injuries and traumas suffered by soldiers and the pioneering surgeon and his team who..." Read more
"Deeply informative and sensitively approached book about a subject that doesn't get nearly enough attention...." Read more
Customers appreciate the book's resilience in history, medicine, and human nature. They also like the detail, language, and construction of the book.
"...I could not put this wonderful book about hope and resilience down and am grateful to have been able to learn more...." Read more
"This is such a great creation , the detail , the language , the construction, and I can only guess at the research...." Read more
"...to anyone with an interest in history, medicine or just sheer human resilience. Really brought its subjects to life...." Read more
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Top reviews from United Kingdom
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- Reviewed in the United Kingdom on 3 January 2025Wow. Just wow.
I’d heard of the surgeon Sir Harold Gillies, as my family both have army medical core and nursing ties, plus a solid love of history. However, I didn’t know much about the man himself, and how much he and others gave to help the victims of World War 1.
The First World War was the worst, the bloodiest, the most industrialized slaughter of man by man the world had known, and the injuries sustained were horrific. Medicine and surgery simply couldn’t cope – not with the sheer volume of wounded, nor the nature of the wounds themselves. But Gillies, who was a gifted, creative surgeon wanted to help the poor souls whose lives, and faces had been ravaged.
Plastic surgery wasn’t entirely new, but was, still largely experimental – and many of the operations he did had never been done before, and a fair few failed.
The men coming through the doors – well if there’s an argument against war this is it – many of them had taken severe facial and jaw injuries, horrendous burns. Faces had literally been blown off, or mangled – many couldn’t eat, talk, and disfigurement was among the most feared of disabilities. But this man, this doctor, rebuilt them….
He fought with authority, and succeeded in opening a ward to try and save these unfortunate men, and restore their faces and their dignity. He worked tirelessly, with little pay and often awful conditions to help others.
It’s not an easy book to read – there are descriptions of horrific wounds, surgery and the awfulness that was the Great War – but primarily it’s a book about hope, and kindness, of pushing the boundaries of what can be done, and should be done. It’s very well written, and sympathetic, both to the staff of the hospitals, and the soldiers themselves. It doesn’t hold back, but the author doesn’t seek to trivialise the war.
- Reviewed in the United Kingdom on 1 July 2022A member of my family, Walter Perry, was a patient at Queen Mary's Hospital at Sidcup and had his face rebuilt in 1917 after receiving a gun shot wound which shattered his upper jaw and left a gaping exit wound. I previously read Dr. Andrew Bamji's brilliant book "Faces from the Front" to better understand the pioneering work carried out by Dr. Harold Gillies and his team, what Walter would have had to endure and what his rehab would have involved. Thanks to Dr Bamji, I was able to get a copy of Walter's medical records, including Gillies' handwritten notes as well as before and after photographs, which starkly illustrated the extent of damage. Against this background, I was really excited to learn more and keenly awaited the publication of Dr Lindsey Fitzharris's book "The Facemaker". I was not disappointed. It is well researched and beautifully written, bringing Gillies' character to life, as well as his deep compassion for his patients, positive attitude towards recovery and obsessive determination to make a difference. Not only Gillies though, but the humanity of all of the patients whose stories unfold from page to page. I could not put this wonderful book about hope and resilience down and am grateful to have been able to learn more. Highly recommended, as is a visit to the recently unveiled memorial to the men with broken faces at Queen's Hospital.
A member of my family, Walter Perry, was a patient at Queen Mary's Hospital at Sidcup and had his face rebuilt in 1917 after receiving a gun shot wound which shattered his upper jaw and left a gaping exit wound. I previously read Dr. Andrew Bamji's brilliant book "Faces from the Front" to better understand the pioneering work carried out by Dr. Harold Gillies and his team, what Walter would have had to endure and what his rehab would have involved. Thanks to Dr Bamji, I was able to get a copy of Walter's medical records, including Gillies' handwritten notes as well as before and after photographs, which starkly illustrated the extent of damage. Against this background, I was really excited to learn more and keenly awaited the publication of Dr Lindsey Fitzharris's book "The Facemaker". I was not disappointed. It is well researched and beautifully written, bringing Gillies' character to life, as well as his deep compassion for his patients, positive attitude towards recovery and obsessive determination to make a difference. Not only Gillies though, but the humanity of all of the patients whose stories unfold from page to page. I could not put this wonderful book about hope and resilience down and am grateful to have been able to learn more. Highly recommended, as is a visit to the recently unveiled memorial to the men with broken faces at Queen's Hospital.
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- Reviewed in the United Kingdom on 14 October 2024Excellent if heartbreaking tale. Very good and graphic
- Reviewed in the United Kingdom on 26 September 2024I think I have been generous with 4*s I would have prefered 3.5 but can't do that.
There are two things that I don't like about this book, the first is the incredible use of [ ] brackets everywhere. I know this shows it is well researched and is probably journalistically correct but I found it really annoying particularly when it was just the first letter of the [q]uote, [l]ike [t]that.
The second thing is this - the book's subtitle says "One Surgeon's Battle to Mend the Disfigured Soldiers of World War I". I had hoped this would have some real technical detail in it in terms of surgery, but it doesn't really. There are broad descriptions of what is done but I think there could have been more detail about this and also some explanatory diagrams.
Instead we get a history lesson about WW1 - this is interesting I admit, but if I wanted that I would have bought a book about WW1 not one called "The Facemaker".
I suspect this was an idea the author had, and then realised it wouldn't be very long so searched for a load of padding.
I was also surprised at how long the acknowledgments were (4 pages!) and that the book took 5 years to research and write, I am also surprised that none of the people in the acknowledgements suggested that perhaps she change the title to reflect what the content actually is.
Not bad and I am glad I read it, but disappointing ultimately, could have been really good.
- Reviewed in the United Kingdom on 20 September 2022The author has clearly pulled no punches in describing how Gilles, despite his basic limitations, performed such intricate and important surgery on those men so horribly disfigured by war. He also describes, in similar detail, how these unfortunate men were discriminated against by the population who had no idea of what terrible life - changing injuries war can inflict on a man’s mind as well as his body. I would definitely recommend this book to those employed in the field of plastic surgery from Consultant Surgeons to psychologists, make-up specialists and theatre and ward staff. This is far more than just a book: it’s an education which should not be overlooked. Those clinicians employed in ENT, Maxillo-Facial and Dental Surgery will also find this an invaluable addition to their e-book libraries or, to their book libraries. For the price, it will be the best and most informative read to date. So don’t just take my word for it - order your copy now.
- Reviewed in the United Kingdom on 11 July 2024Superbly written chronicle of the evolution of facial surgery from ww1 to ww2 and beyond. Moving accounts of wounded individuals and their talented surgeons. Recommend then read Emily Mayhew’s superb book about the East Grinstead Guinea Pigs.
- Reviewed in the United Kingdom on 19 July 2024Amazing insight into a world of hell.
Top reviews from other countries
- Elizabeth GrysReviewed in the United States on 26 October 2024
5.0 out of 5 stars Great read for those who love medical and historical books
Excellently written, keeps you engaged in the story of the doctors and the patients who were pioneers in facial reconstruction.
- Jen ChevReviewed in Canada on 15 August 2023
5.0 out of 5 stars Love
I heard about this on a podcast and simply loved it. Kind of a history nerd and this gave new insights to all the war movies- pre antibiotics, how do you restore function and any normalcy to someone who has lost a significant portion of their face? An easy read that doesn’t feel like a textbook despite being non fiction. Enjoyed it so much I bought her other book before I’d even finished this one.
- Amazon CustomerReviewed in Brazil on 17 July 2022
5.0 out of 5 stars well written
The story is interesting and the author masters the narrative and the chapter divisions, so that you can read it through at one sitting.
- Jeevan Prakash V.Reviewed in India on 26 December 2024
5.0 out of 5 stars A must read for surgeons who deal with facial plastic and reconstructive work
The Facemaker by Lindsey Fitzharris is a masterfully crafted narrative that illuminates one of the Great War's lesser-known but profoundly important stories: the groundbreaking work of Harold Gillies, a pioneering surgeon who transformed the field of plastic surgery while restoring both the faces and dignity of grievously wounded soldiers.
Fitzharris's account begins in the trenches of World War I, where new weapons of warfare—particularly artillery shells and machine guns—created unprecedented facial injuries. The book's opening chapters paint a haunting picture of the war's "broken gargoyles," men whose facial disfigurements were so severe that they were forced to sit on blue benches, facing away from their fellow hospital patients, their very presence considered too disturbing for public view.
Enter Harold Gillies, a New Zealand-born surgeon whose innovative approaches to facial reconstruction would revolutionize the field. Fitzharris expertly weaves together Gillies's personal story with the larger narrative of medical advancement during wartime. Through meticulous research and compelling storytelling, she demonstrates how Gillies developed entirely new surgical techniques, including the tubed pedicle flap method, which allowed for the transfer of living tissue from one part of the body to another while maintaining blood supply.
The author's greatest achievement lies in her ability to balance technical medical detail with profound humanity. She brings to life the stories of individual soldiers, like sailor Walter Yeo and soldier Henry Lumley, whose cases exemplify both the horror of their injuries and the hope offered by Gillies's work. These personal narratives serve as emotional anchors throughout the book, helping readers understand not just the physical but also the psychological impact of facial disfigurement in a society that struggled to accept these veterans.
Fitzharris doesn't shy away from the graphic nature of her subject matter, but she handles it with remarkable sensitivity. Her descriptions of surgical procedures are precise without being gratuitous, and she contextualizes them within the larger framework of medical history and social change. The book also explores the birth of modern plastic surgery, demonstrating how techniques developed for war wounds would later transform into the foundation of reconstructive surgery as we know it today.
One of the book's most powerful aspects is its examination of the relationship between identity and appearance. Fitzharris explores how Gillies and his team didn't just rebuild faces—they rebuilt lives. The psychological care provided at Queen's Hospital in Sidcup, where Gillies established his practice, was as innovative as the surgical techniques, recognizing that healing needed to address both body and mind.
"The Facemaker" is more than a medical history; it's a testament to human resilience and innovation in the face of unprecedented challenges. Fitzharris has produced a work that is simultaneously informative and deeply moving, shedding light on a crucial yet often overlooked aspect of World War I's legacy. Through her careful research and engaging prose, she ensures that both Gillies's contributions and his patients' courage will not be forgotten.
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RAFAEL LÓPEZ MONTESReviewed in Spain on 4 September 2022
5.0 out of 5 stars Inicios de la cirugía plástica
Fascinante historia de cómo Harold Gillies lograba, casi sin precedentes , reconstruir la cara de los soldados de la primera guerra mundial. La mayoría de estos accidentes debidos a las trincheras.