The results obtained are excellent in most cases. The resulting cicatrix is barely visible, and may be later improved by scar-reducing methods, later described under that heading.
The appearance of the flap after the pedicle has been severed and the subseptal section has been put into place may be observed in [Fig. 456], and the final appearance after total contraction, in [Fig. 457].
Fig. 456.—Flap detached.
Fig. 457.—Final appearance.
Author’s Case.
For very small losses of tissue about the lobule nonpedunculated skin grafts are to be employed. The author advises including some of the areolar tissue with them to avoid contraction.
These are to be dressed with the blood method referred to under skin grafting. Perforated rubber tissue is to be used next to the epidermal surface to prevent the dressings from tearing away the graft when changed.
Fine twisted silk is most suitable for suturing purposes. The loops must not be drawn too tightly and the knot be made so that it rests upon the healthy skin of the nose.