The Wheeling intelligencer. [volume] (Wheeling, W. Va.) 1903-1961, 1919-06-07
'~Ho1v Modern Surgeons Build
Up Nasal Cavities as Well
as Remoue Unsightly Humps
and Thus Correct Natures
u, ,.,,.. =, having ~. fac. and DuI WOr.k

s-pHE fashion Of having the face aud
nose shaped by surgery to conform
- 70 certain ideals of beauty and at
Effectiveness has taken 3 considerable hold
On tho women Of New York.
The perfection Of Cleopatra's nose Is
said to have decided the fate OF the ancient
xorld and our American women are eager
Tor world power to-day.
rns wisdom Of having the nose altered
simply for beGutitying purposes may be
seriously questioned. but It Is apparent
nat many women are undergoing COM
prcatsd and expensive operation just LOT
ma xake Of gaining . dignined straight
nose line, q desirable curve or tilt, accord
ing 10 circumstances and tastes.
The surgical method Of removing an IN
sixhtly hump from the bridge OF the nose
has recently been described In these
naxe.. An operation, quite as much IN
Yayor and considerably more complicatedls
70 I'LL up an unsightly depression IN the
bridge with bone taken from some other
place.
EVERYBODY
pushed In and depressed at the bridge Is
highly unattractive feature. There are
dozen or more different types OF detecti'e
bridge, varying from absolute fatness 20
small depression that merely gives you
c,nmonplace look II the depression IS
snch "a to interfere with nose breathing
any nose and throat surgeon Will En-
deayor to open up the passage, out WHEN
Il Is a question OF improving external
looks. then q specialist OF more hmlteo
type is needed. A New York surgeon VINO
has been very successful In per1ormns
such operations described lhat Oh oiiuso
building 10 the writer
The natfsrt Is put through the usual sur
pIcal stems with regard to cleanliness and
asensIs. The face and area to be operated
or are thoroughly cleaned with antiseptlcs.
The hair and body are covered with clotns
70 prevent infection.
on the surgeons table lie heaps OF saws,
chisels. scalpe;s. seizure forceps hammers,
tweezers, knives, rasps, scissors anu otheE
implements. 49,,
The operation Is performed with local
.reethosIa alone. Cocaine is used to pro-
drce insensibiity, and adrenalin to cheek
bleeding.
In the first place an incision Is MADE IN
tho mucous membrane (lining) OF the nose
with delicate knife. All the steps or the
operatiou are performed within the nose
without destroying any OF the mucous
membrane, which Is cut through, ana WITT
ont iniuring the exterior OF the nose IN
any way. ,
Through the incisons in the mucous
mar,brane 9 chisel is passed and the nasal
bones are completely detached from tne
nasal process OF the frontal bone (the
foreheadD and from the corresponding part
OF the upper jawbone. The nasal bones
are then elevated sufficiently TO raise the
bridge OF the nose 10 the desired ioeal
angle. l., /,
A small strip OF antiseptic gauze Is IN,
serted underneath the detacneu mas
homes and holds them in the desired posi-
~ Tho tissue covering the nose Is de-
tacbed from the forward edge OF the sep
tnm (oartition) Of the nose. The mucous
!, surface lining the left side OF the sep
INN Is lifted up and the patient Is then
ready for the insertion OF the new oone'
which will keep her nose permanently
lifted ND to the desired height.
A niece OF bone, including its periosteal
covering Is removed from the nose OF an
other patient. This bone IS usually taken
from the yomer or bony structure OF tle
septum or partition OF the nose. Inc vo'
mer Is frequently cut away to enlarge the
passage through the nostrlls, ana pieces
81 II can easily be spared.
The surgeon picks up the delicate pony
morsel with o pair OF tiny forceps, inserts
n into the space between the detached
mucous membrane and the nasal septum
(partition) end places It in position so that
the forward edge OF this piece OF new bone
proJects sufficiently to form the proper
base Of the new nasal bono.
Thus the original nose bridge Is raised
10 It's proper height by bony prop unoer
Its foundation.
"Wlthin two weeks the transplanted
bone usually grows into place" said tine
surgeon who performed this operation.
have found no changes In an operated
nose after years. 1T
common condition that interteres with
beauty ia G. one-sided nose. This condition
NAV exist at the same time as one OF the
other defects and be cured by an operation
AT the same time rs the other, or 1t may be
the principal defect to be remedied In the
To cure the onesided condition. the
surgeon takes his chisel and MS saw ana
dislocates part Of the bony structure OF
the nose from It's foundation. The next
step Is to separate the upper part OF the
hony partition OF the bone from its tissues.
This is said to be very essential, as other
wise pushing the nose sideways might
crac,, the "cribriform plate Of the ethmoid
cartilage" part Of the base OF the skull,
which cracking might have disastrous con-
sequences.
When he has loosened up everything
80 that It can be moved with safety, the
beauty surgeon, with practised eye, pushes
the nose towards the central line until 1t
occupies the ideal position Of straightness.
After the nose has been moulded into the
desired shape, . strip Of gauze Is inserted
through the first incision and is kept there
Cor one or two days in order to establish
10