Plastic surgery; its principles and practice . rafting is often used to cover the raw surfaceafter the correction of ectropion, but the results are seldom as satis-factory as when more radical procedures are employed. The restoration may be done immediately, or after healing has takenplace. Immediate Restoration.—Defects following operative proceduresshould be repaired at once whether on the upper or on the lower lip,and repair should ordinarily be undertaken immediately in wounds inwhich there has been loss of tissue. In these cases the surgeon dealswith normal tissues. Secondary Restoration.


Plastic surgery; its principles and practice . rafting is often used to cover the raw surfaceafter the correction of ectropion, but the results are seldom as satis-factory as when more radical procedures are employed. The restoration may be done immediately, or after healing has takenplace. Immediate Restoration.—Defects following operative proceduresshould be repaired at once whether on the upper or on the lower lip,and repair should ordinarily be undertaken immediately in wounds inwhich there has been loss of tissue. In these cases the surgeon dealswith normal tissues. Secondary Restoration.—By secondary restoration is meant therepair of defects after the edges have completely healed. These defectsmay follow the excision of tumors in which immediate restoration wasconsidered inadvisable, destruction following burns, and destructive 512 PLASTIC SURGERY ulceration of various kinds. Many of the operations described underimmediate restoration of both the upper and lower lip may be utilizedafter excision of the scar tissue Fig. 558.—Contracture of the face following a burn. Duration eight years.—i, 2 and3. Profile view and front views of the patient. Note the ectropion of the lids, the inabilityto close the mouth and the general involvement of the entire face with scar tissue.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky