Plastic surgery; its principles and practice . Fig. 231.—Suture to correct the flattened nostril (Roberts).—i. The silver wire suturein place. 2. The pared edges of the nostril brought together and the suture secured by-perforated shot. the formation of the nostril have been evolved and are shown in thediagrams. The second suture is placed at the junction of the skinand vermilion border and subsequently the rest of the incision is necessary a few very superficial interrupted sutures may be placed. Fig. 232.—Method of inserting the stitch to shape the nostril {Berry and Legg).—I. Afte
Plastic surgery; its principles and practice . Fig. 231.—Suture to correct the flattened nostril (Roberts).—i. The silver wire suturein place. 2. The pared edges of the nostril brought together and the suture secured by-perforated shot. the formation of the nostril have been evolved and are shown in thediagrams. The second suture is placed at the junction of the skinand vermilion border and subsequently the rest of the incision is necessary a few very superficial interrupted sutures may be placed. Fig. 232.—Method of inserting the stitch to shape the nostril {Berry and Legg).—I. After the edges have been pared the stitch is passed deeply from within the ala and ismade to emerge at the upper part of the raw surface of the lip close to the nostril. 2. Itis then carried across and inserted in a corresponding place on the raw surface of the nostrilside of the cleft. It is inserted as deeply and as close to the cartilage of the septum as possi-ble, and emerges inside the nostril. between the on-end mattress sutures. The use of horsehair prevents unnecessary scarring. Two or three silk stitches should be placed in the mucous membrane of the lower half of the lip (Figs. 231 and 232). Silver wire or silkworm gut held by perforated shot may be used to 272 PLASTIC SURGERY shape the nostrils, especially in cases of double harelip. If tissues areproperly mobilized, there is no need for tension sutures which alwaysleave scars. The superficial sutures may be removed within two or three d
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