The tissues at either side are freed from their subcutaneous attachments so as to render them mobile.

The mucosa and skin wounds are sutured as in [Fig. 497].

A retention splint or suture is to be employed to retain the parts as with the anterior lobule operation just described until healing has taken place.

Fig. 496. Fig. 497.

Author’s Method.

REDUCTION OF THICKNESS OF ALÆ

When the alæ are thickened they add to the width of the nasal bone and cause more or less atresia of the nostrils. The cause may be due to superabundant connective tissue or a congenital enlargement of the lower lateral cartilage.

To overcome this deformity the following operations may be followed: