Fig. 467. Fig. 468.
Szymanowski Method.
The author believes a nonpedunculated flap with or without a cartilaginous support should be tried before other methods are resorted to, in all cases, with the hope of healing the graft in place. The fact that the mucosa can in some cases be sutured to the margins of the flap adds much to the possibility of its subsequent life by adding its nutriment to the graft.
CHAPTER XVI
COSMETIC RHINOPLASTY
The operations herein considered have to do with overcoming deformities, congenital or acquired, as a result of traumatism, and in which there is no loss of tissue, the sole object being to give to the nasal organ a more desirable size and contour.
There are many types of abnormalities involving both the size and shape of the nose. Some of these deformities may be readily corrected by subcutaneous or submucous operations, while others involve more or less cutting of the skin.
The object of the surgeon at all times is to accomplish the best results with as little disfigurement as possible.
Anesthesia.—All the cosmetic operations of the nose should be done under local anesthesia, unless there be serious objections to its employment.