Chapter XIV: Subcutaneous Hydrocarbon Protheses

Indications—Precautions—The advantage of the method—Untoward
results: Intoxication; Reaction; Infection; Necrosis;
Sloughing; Sloughing due to pressure; Subinjection;
Hyperinjection; Air embolism; Paraffin embolism; Primary
diffusion or extension of paraffin; Interference with
muscular action of the wings of the nose; Escape of paraffin
after withdrawal of needle; Solidification of paraffin in
needle; Absorption or disintegration of the paraffin; The
difficulty of procuring paraffin with proper melting point;
Hypersensitiveness of skin; Redness of the skin; Secondary
diffusion of the injected mass; Hyperplasia of the connective
tissue following the organization of injected matter; Yellow
appearance and thickening of the skin after organization
of the injected mass has taken place; The breaking down of
tissue and resultant abscess due to the pressure of the
injected mass upon the adjacent tissue after the injection has
become organized—The proper instruments for the subcutaneous
injection of hydrocarbon protheses—Preparation of the site of
operation—Preparation of the instruments for operation—The
practical technique—Specific classification for the employment
and indication of hydrocarbon protheses about the face—Specific
classification for the employment and indication of hydrocarbon
protheses about the shoulders, etc.—Specific technique for the
correction of regional deformities about the face: Transverse
depressions; Deficient or receding forehead; Unilateral
deficiency; Interciliary furrow; Temporal muscular deficiency;
Deformities of the nose; Deformities about the mouth;
Deformities about the cheeks; Deformities about the orbit;
Deformities about the chin; Deformities about the ear—Specific
technique for the correction of deformities about the shoulders 209

CHAPTER XV

RHINOPLASTY

The causes of nasal destruction—Classification of
deformities—Surgical technique—Protheses—Nasal replanting—Nasal
transplanting—Total rhinoplasty: Pedunculated flap method; The
Indian or Hindu method; The French method; The Italian method;
The combined flap method; Organic support of nasal flaps;
Periostitic supports; Osteoperiostitic supports; Cartilaginous
support of flap—Partial rhinoplasty; Restoration of base of
nose; Restoration of lobule and alæ; Restoration of the alæ;
Restoration of nasal lobule; Restoration of subseptum 339

CHAPTER XVI

COSMETIC RHINOPLASTY

Angular nasal deformity—Correction of elevated
lobule—Correction of bulbous lobule—Angular excision to
correct lobule—Correction of malformations about nasal
lobule—Deficiency of nasal lobule—Correction of widened base
of nose—Reduction of thickness of alæ—Correction of nasal
deviation—Undue prominence of nasal process of the superior
maxillary 448

CHAPTER XVII

ELECTROLYSIS IN DERMATOLOGY

The electric battery—The voltage or electromotive force—Cell
selector—Milliampèremeter—The electric current—Portable
batteries—Electrodes—Removal of superfluous hair—Removal
of moles or other facial growths—Telangiectasis—Removal of
nævi—Removal of tattoo marks—The treatment of scars 470