If there be considerable absence of lip tissue he advises making two lateral incisions sufficient to overcome the tension on the parts. These secondary wounds are allowed to heal by granulation.

Fig. 191. Fig. 192. Fig. 193.

Haagedorn Method.

Simon Method.—Simon utilizes two curved lateral incisions encircling the alæ of the nose. This permits of a ready juxtaposition of the lateral flaps (see [Fig. 194]). The two flaps are sewn to the median flap (see [Fig. 195]) and are allowed to heal into place, the secondary wounds healing by granulation.

When this has been accomplished, a later operation is undertaken to correct the prolabial border, the incision for which and the disposition of the suture are shown in [Fig. 196].

Fig. 194. Fig. 195. Fig. 196.

Simon Method.