A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . METHODS USED IN PLASTIC SURGERY. 163 Fig. 65. transferring flaps from the forehead, or from the arm as suggested byTaliacotius. The septum, or at least the columna, can be well madeout of a piece cut from the entirethickness of the upper lip. Por-tions of the nose may be restoredby flaps from the checks or upperlip. It is well to remember thattaking portions of the lip awaygives a flattened nose a moremarked prominence ; hence,
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . METHODS USED IN PLASTIC SURGERY. 163 Fig. 65. transferring flaps from the forehead, or from the arm as suggested byTaliacotius. The septum, or at least the columna, can be well madeout of a piece cut from the entirethickness of the upper lip. Por-tions of the nose may be restoredby flaps from the checks or upperlip. It is well to remember thattaking portions of the lip awaygives a flattened nose a moremarked prominence ; hence, twoindications are fulfilled by usinglabial flaps for rhinoplastic pro-cedures. The parts may be keptin place by transfixing the organand the septum with pins, or tubesor plugs may be placed in the nos-trils for a few days. When thebridge is very much shrunken,flaps from the forehead and cheeksmay be superposed to give thick-ness. The lower lip can be re-paired by flaps from the chin orcheeks ; or from the upper lip if the loss of substance is near theangle of the mouth. The plastic operations by which crooked noses. Outline of flap taken from upper lip for recon-struction of ala of nose. Fig. 66.
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