Saving Face: Disfigurement and the Politics of Appearance

Saving Face: Disfigurement and the Politics of Appearance

Saving Face: Disfigurement and the Politics of Appearance

Saving Face: Disfigurement and the Politics of Appearance


Imagine yourself without a face--the task seems impossible. The face is a core feature of our physical identity. Our face is how others identify us and how we think of our 'self'. Yet, human faces are also functionally essential as mechanisms for communication and as a means of eating, breathing, and seeing. For these reasons, facial disfigurement can endanger our fundamental notions of self and identity or even be life threatening, at worse. Precisely because it is so difficult to conceal our faces, the disfigured face compromises appearance, status, and, perhaps, our very way of being in the world.

In Saving Face, sociologist Heather Laine Talley examines the cultural meaning and social significance of interventions aimed at repairing faces defined as disfigured. Using ethnography, participant-observation, content analysis, interviews, and autoethnography, Talley explores four sites in which a range of faces are "repaired:" face transplantation, facial feminization surgery, the reality show Extreme Makeover, and the international charitable organization Operation Smile,. Throughout, she considers how efforts focused on repair sometimes intensify the stigma associated with disfigurement. Drawing upon experiences volunteering at a camp for children with severe burns, Talley also considers alternative interventions and everyday practices that both challenge stigma and help those seen as disfigured negotiate outsider status.

Talley delves into the promise and limits of facial surgery, continually examining how we might understand appearance as a facet of privilege and a dimension of inequality. Ultimately, she argues that facial work is not simply a conglomeration of reconstructive techniques aimed at the human face, but rather, that appearance interventions are increasingly treated as lifesaving work. Especially at a time when aesthetic technologies carrying greater risk are emerging and when discrimination based on appearance is rampant, this important book challenges us to think critically about how we see the human face.


It’s like if you’re not pretty, you’re not even a human.

—14-year-old girl in a personal conversation, 2007

In the summer of 1990, my tween friends and I invented a game. the rules were simply this: One girl posed a question, and everyone in the room had to answer … honestly. Our game worked differently from Truth or Dare, the ubiquitous slumber party game in which adolescents, most often girls, ask each other revealing personal questions or challenge fellow players to embarrassing tasks. in our version, players were faced with telling the “real truth” about another player. These questions had tricky answers. the game, tinged with all kinds of girlhood sadism, always ended with someone in tears. Most often that someone was me.

Some questions were fairly benign, such as “Who is the most fun to spend the night with?” There were moderately hurtful questions, like “If you had to choose one best friend in the room who would it be?” of course, you hoped you were the one, but not every girl could be every other girl’s best friend. So there was a sheepish camaraderie that arose amongst those of us not picked. But there were also questions that resulted in the articulation of a clearly delineated hierarchy. Sometimes, one girl would ask each girl to rank everyone in the room from smartest to stupidest. I was rarely the smartest, but I was never the stupidest . . .

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