Gensoul Method.—A deep incision is made from the floor of each nostril downward and backward, meeting at a point just below the union of the subseptum with the upper lip, as in [Fig. 494].
The deeper tissues are loosened from their attachments to the bone until the subseptum at its base, including the triangular appendage thus made, is freely movable.
The lobule is now drawn forward to its required prominence and the parts are sutured Y fashion, as in [Fig. 495].
If the subseptum be too wide, an elliptical section is removed, including the cartilage, sufficient to give it the desired thickness when brought together, as illustrated. The lips of the wound are brought together as shown.
Fig. 494. Fig. 495.
Gensoul Method.
CORRECTION OF WIDENED BASE OF NOSE
When the base of the nose at its juncture with the lip is too broad, the reversed procedure mentioned under correction of a broad lobule is to be employed.
The diamond-shaped section is removed from the posterior rim of the nares as shown in [Fig. 496].