The best preparation to employ is the form of paraffin mixture advocated in the preceding operation used in its cold state and injected slowly, after the integument has been rendered mobile enough to permit the desirable correction.
Fig. 296. Fig. 297.
Anterior Inferior Third Nasal Deficiency and Correction Thereof.
The defect should not be corrected in one sitting, for the very reason that some widening of the nose may take place, owing to the contractility of the skin, post-operatio.
The mass injected should correct the major part of the defect and be molded out carefully, especially from both sides of the nose, and the patient be instructed to pinch the nose laterally several times a day after the reactive inflammation has subsided with the object of keeping the nose as narrow as possible.
After the mass has been thoroughly replaced with connective tissue and the anterior line is found to be too depressed, a fine line of the mass about the thickness of the needle may be injected over it in a vertical direction, the point of a fairly large needle being introduced just above the anterior aspect of the lobule and thrust upward to the superior border of the now existing deformity, and be slowly withdrawn as the mass is injected.
This will leave a rounded cylindrical-like mass along the anterior nasal line, which must not be molded at all, except to soften or shade off the superior and inferior extremities.