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Hi, I'm so sorry to hear that and I know you and her family must be very scared and worried right now. For now the most important thing is making sure her brain is OK and the induced comma is likely in order to keep her brain pressure low to prevent life threatening brain swelling. Any time a severe car accident such as this is sustained the most important urgency is the brain and the life of the patient. The functional and cosmetic issues will be addressed to some degree now but she will require multiple revision surgeries down the line to restore and rebuild function and aesthetics. Some patients may end up requiring 10, 20 or more surgeries over many years and very nice results are achievable and possible with today's reconstructive plastic surgery techniques. You are probably aware of the face transplant cases in severe extreme cases. Advancements have come a long way but it does not sound like she needs anything that extreme. She will need reconstruction of her eye socket and cheeks as well as correction of her scalp defect and later on reconstruction of her ear. But again first thing is first and that is making sure the neurosurgeons and trauma surgeons can save her life and then the work of the plastic surgeons can begin. Hang in there and keep yourself busy. She will need you to be strong and she will need you to be there for her. Godspeed!
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