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A New Hampshire woman who suffered severe burns in a domestic attack has received her second full face transplant, becoming the first person in the United States — and the second in the world — to ever undergo the procedure twice.

Carmen Blandin Tarleton, 52, underwent her second operation for a new face in July after the transplant she received seven years ago began failing, according to Boston’s Brigham and Women’s Hospital, where the surgery took place.

Tarleton's latest procedure took 20 hours and involved a team of over 45 clinicians, the medical center said in a news release on Friday.

“I am grateful to the team at the Brigham and to my donor for making it possible to receive a second face transplant, and with it the opportunity to improve my quality of life,” Tarleton said in a statement. “The pain I was suffering is gone, and I look forward to resuming my work and inspirational speaking as soon as possible.”

Approximately 40 people worldwide have received a full face transplant between 2015 and 2017, according to the Mayo Clinic. The procedure is challenging and several patients have died due to infection or rejection of the transplant.

According to the hospital, Tarleton's second transplant is also unique due to an unusually close tissue match from the donor. The match will help lower her future risk of rejection. Tarleton is currently recovering from her transplant at her home in Manchester, the Associated Press reported. She recently told the outlet that she's "elated" with how the procedure went.

“The pain I had is gone,” she said. “It’s a new chapter in my life. I’ve been waiting for almost a year. I’m really happy. It’s what I needed."

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