Plastic and cosmetic surgery

by Frederick Strange Kolle

The median section forms the bridge and dorsal prominence of the nose.

The adherent skin of the lateral bony plates is dissected up sufficiently to permit of the proper formation of the sides and wings of the nose.

This gives a shape to the nose, as shown in [Fig. 374].

The lateral margins of the integumentary flap are now sutured to the freshened margins of the old nose, and the remaining skin, if any, is made to cover the granulating surface; if this is lacking or insufficient, skin grafts are utilized to cover it completely.

Fig. 373.—First step.

Fig. 374.—Disposition of frontal flap.

Rotter Method.

Schimmelbusch Method.—The principle herein is to give an osseous wall to the whole length of the restored nose, covering well the skin inside and outside, and, if possible, to fix the new nose solidly at the pyriform opening.