Fig. 379.—First step.

Fig. 380.—Second step.

Fig. 381.—Third step.

Krause Method.

Nélaton Method.—A lateral flap of skin is taken from the cheeks, beginning on a line with the root of the nose and as low as a point two thirds of its normal length. These flaps are made wide enough, so that when dissected up and folded inward they will meet on the median line, as shown in [Fig. 382], having their raw surface facing outward. They are sutured along the median line. The frontal flap was cut in the form of a horse-shoe having its pedicle at the root of the nose just above the eyebrows, and being about three centimeters wide and six long.

The skin at the outer margins was dissected up from the bone, leaving sufficient attachment at its center to allow for a bony plate.

With a fine saw, and in the manner shown in [Fig. 383], this plate was made from the frontal bone, being about two and a half centimeters wide and four long.