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Plastic and cosmetic surgery

Chapter 3: LIST OF ILLUSTRATIONS
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About This Book

A practical, illustrated surgical manual compiles historical background and step-by-step guidance on plastic and cosmetic procedures, emphasizing operating room setup, sterilization, antiseptics, wound care, and anesthesia. It outlines core principles — incisions, suturing, flap techniques, skin grafting, and prosthetic implantation — and provides detailed operative approaches for eyelids, the auricle, lips, oral apertures, facial defects, and hair transplantation. Instrumentation, sterilizing apparatus, and postoperative dressings receive specific attention, and numerous illustrations support the author's clinical recommendations and technical descriptions.

LIST OF ILLUSTRATIONS

Transcriber’s Note: Some illustrations have been moved to where they fit best with the surrounding text. Links lead to the illustration, not to the page number.

FIG. PAGE
A. Cornelius Celsus (“Father of Plastic Surgery”). Frontispiece
Historical
1.—Celsus incision for restoration of defect 2
2.—Celsus incision to relieve tension 2
Requirements for Operating
3.—Formaldehyd disinfecting apparatus 11
4.—Instrument cabinet 12
5.—Operating table 13
6.—Instrument table 14
7.—Irrigator 15
8.—Instrument sterilizer 16
9.—Aseptic washstand 17
10.—Von Bergman operating gown 19
11.—Triffe rubber apron 19
Requirements during Operation
12.—Basins and rack 23
13.—Willy Meyer sterilizer 25
14.—Wallace sterilizer 25
15.—Sprague type of sterilizer 26
16.—Sterilizing plant 28
17.—Dressing case 29
18.—Combination dressing case and table 29
19.—Waste pail 30
20.—Clark Kumol apparatus 32
Wound Dressing
21, 22.—Plaster sutures 46
23, 24.—Angular plaster sutures 46
Secondary Antisepsis
25.—Walcher dressing forceps 55
26.—Toothed seizing forceps 55
Anesthetics
27.—Schimmelbusch dropping bottle 60
28.—Esmarch dropping bottle 60
29.—Schimmelbusch folding mask 61
30.—Esmarch inhaler 61
31.—Allis inhaler 65
32.—Fowler inhaler 65
33.—Juillard mask 66
34.—Simplex syringe 72
35.—Kolle improved Pravaz syringe 72
36.—“Sub-Q” syringe 72
Principles of Plastic Surgery
37.—⅝ circle Haagedorn needles 77
38.—Crescent curve Haagedorn needles 77
39.—Kersten-Mathieu needle holder 78
40.—Haagedorn needle holder 78
41.—Pozzi-Haagedorn needle holder 78
42.—Weber-Haagedorn needle holder 78
43.—Needleholder with suture carrier 78
44.—Celsus skin incisions 80
44 a.—Celsus relieving incisions 80
45.—Rhomboid excision 80
46.—Union of rhomboid excision 80
47.—Oblong excision 81
48.—Coaptation of wound 81
49.—Bitriangular excision 81
50.—Linear coaptation 81
51.—Triangular excision 81
52.—Coaptation of wound 81
53.—Triangular excision with relieving incisions 82
54.—Coaptation of wound 82
55.—Square excision 82
56.—Coaptation of wound 82
57.—Square excision 82
58.—Coaptation of flaps 82
59.—Triangular excision 83
60.—Coaptation of flap 83
61.—Triangular excision 83
62.—Coaptation of flaps 83
63.—Triangular excision 83
64.—Arrangement of flaps 83
65.—Double triangular excision 84
66.—Coaptation of wound 84
67.—Tri-triangular excision 84
68.—Coaptation of wound 84
69.—Rectangular-bitriangular excision 84
70.—Coaptation of wound 84
71.—Weber excision method 85
72.—Coaptation of flaps 85
73.—Elliptical excision 85
74.—Coaptation of flaps 85
75.—Triangular excision 86
76.—Coaptation of flaps 86
77.—Triangular excision 86
78.—Coaptation of flaps 86
79.—Lentenner method of excision 86
80.—Coaptation of flap 86
81.—Burns method of excision 87
82.—Coaptation of flaps 87
83.—Tagliacozza harness 87
84.—Smith skin-grafting scissors 89
85.—Thiersch skin-grafting razor 93
86.—Thiersch folding razor 93
87.—Method of cutting Thiersch graft 94
88.—Method of placing Thiersch graft 95
Blepharoplasty
89.—Correction of ectropion, Dieffenbach method 104
90 a and b.—Correction of partial ectropion (author’s case) 104
91, 92.—Complete ectropion, Dieffenbach method 106
93, 94.—Complete ectropion, Wolfe method 107
95, 96.—Complete ectropion, Fricke method 108
97, 98.—Complete ectropion, Ammon-Von Langenbeck method 109
99, 100.—Complete ectropion, Dieffenbach-Serre method 110
101, 102, 103.—Complete ectropion, Tripier method 111
104, 105.—Complete ectropion, Von Artha method 112
106, 107.—Epicanthus, Bull method 113
108.—Probe-pointer angular scissors 114
109, 110, 111.—External canthoplasty 115
112, 113.—Blepharoplastics, author’s method 116
114.—Curved eye scissors 117
Otoplasty
115.—Partial restoration of the auricle 124
116.—Correction of lobular defect 126
117.—Coaptation of wound 126
118, 119.—Greene method correcting coloboma 126
120.—Noyes’s clamp 127
121, 122.—Correction of attached lobe 128
123.—Restoration of auricle, Szymanowski method 129
124.—Auricular stump for attachment of artificial ear 130
125.—Auricular prothesis 130
126.—Auricular prothesis applied to stump 131
127.—Anterior view of auricular prothesis 131
128.—Posterior view of auricular prothesis 131
129, 130, 131.—Schwartze method of correction of macrotia 134
132, 133.—Parkhill method of correction of macrotia 135
134, 135.—Author’s method of correction of macrotia 137
136, 137.—Author’s method of correction of macrotia 137
138.—Monks’ method of correction of malposed ear 139
139, 140.—Author’s method of correction of malposed ear 140
141, 142.—Correction of malposed auricles, author’s case (anterior view) 142
143, 144.—Posterior view of replaced auricles 143
Cheiloplasty
145.—Burchardt compression forceps 145
146.—Beinl harelip clamp 145
147.—Median cleft, Siegel’s case 147
148.—Median cleft with rhinophyma, Trendelenburg’s case 147
149, 150, 151.—Types of unilateral labial cleft 148
152.—Unilateral facial cleft, Hasselmann 149
153.—Bilateral facial cleft, Guersant 149
154.—Buccal fissure with macrostoma 150
155, 156, 157.—Harelip correction, Nélaton method 152
158, 159.—Harelip correction, Fillebrown method 153
160, 161, 162.—Harelip correction, Von Langenbeck-Wolff-Sedillot method 153
163, 164, 165.—Harelip correction, Malgaigne method 154
166, 167.—Harelip correction, Gräfe method 154
168, 169, 170.—Harelip correction, Mirault method 155
171, 172, 173.—Harelip correction, Giralde method 155
174, 175, 176.—Harelip correction, König method 156
177, 178, 179.—Harelip correction, Maas method 156
180, 181, 182.—Harelip correction, Haagedorn method 157
183, 184, 185.—Harelip correction, Dieffenbach method 157
186, 187.—Correction bilateral cleft, Von Esmarch method 159
188, 189, 190.—Correction bilateral cleft, Maas method 159
191, 192, 193.—Correction bilateral cleft, Haagedorn method 160
194, 195, 196.—Correction bilateral cleft, Simon method 160
197.—Hainsley cheek compressor 161
198, 199.—Superior cheiloplasty, Bruns method 164
200, 201.—Superior cheiloplasty, Sedillot method 165
202.—Superior cheiloplasty, Buck method 165
203, 204, 205.—Superior cheiloplasty, Estlander method 166
206, 207.—Inferior cheiloplasty, Richerand method 169
208, 209.—Extirpation of vermilion border 169
210, 211.—Inferior cheiloplasty, Celsus method with additional incisions 170
212, 213.—Inferior cheiloplasty, Estlander method 171
214, 215.—Inferior cheiloplasty, Bruns method 172
216, 217.—Inferior cheiloplasty, Buck method 172
218, 219.—Inferior cheiloplasty, Dieffenbach method 173
220, 221.—Inferior cheiloplasty, Jäsche method 174
222, 223.—Inferior cheiloplasty, Trendelenburg method 174
224, 225.—Inferior cheiloplasty, Bruns method 175
226, 227.—Inferior cheiloplasty, Bruns bilateral method 175
228, 229, 230.—Inferior cheiloplasty, Buchanan method 176
231, 232.—Inferior cheiloplasty, Syme method 177
233, 234.—Inferior cheiloplasty, Blasius method 178
235, 236.—Inferior cheiloplasty, Bürow method 178
237, 238.—Inferior cheiloplasty, von Langenbeck 179
239, 240.—Inferior cheiloplasty, Morgan method 180
241, 242.—Inferior cheiloplasty, Zeis method 181
243, 244.—Inferior cheiloplasty, Delpech method 182
245, 246.—Inferior cheiloplasty, Teale method 185
247, 248.—Labial ectropion, author’s method 187
249, 250.—Labial ectropion, author’s method 188
Stomatoplasty
251, 252.—Correction of Macrostoma, Dieffenbach-Von Langenbeck method 193
253, 254.—Correction of Macrostoma, author’s method 195
255, 256.—Correction of Microstoma, Dieffenbach method 196
257.—Artificial mouth, Heuter 196
Meloplasty
258, 259.—Meloplasty, Serre method 199
260, 261.—Correction of angle of mouth 200
262, 263.—Correction of extensive angle of mouth 200
264, 265.—Meloplasty, Kraske method 201
266, 267, 268.—Meloplasty, Israel method 202
269, 270.—Meloplasty, Bardenheuer 202
271, 272, 273, 274.—Meloplasty, Bardenheuer 203
275, 276, 277, 278.—Meloplasty, Bardenheuer 204
279, 280.—Meloplasty, Staffel 205
281.—Cheek prothesis after removal of sarcoma, Martin 206
282.—Prothesis applied to face 207
Subcutaneous Hydrocarbon Protheses
283.—Circulation of the head (author) Facing 210
284.—Eckstein insulated syringe 232
285.—Quinlan paraffin heater 232
286.—Author’s electrothermic paraffin heater 244
287.—Smith paraffin heater 246
288 a, 288 b.—Microphotograph, showing fibromatosis Facing 258
289.—Author’s drop syringe 265
290.—Author’s all-metal syringe 266
291.—Smith’s all-metal syringe 267
292, 293.—Anterior superior third nasal deficiency and correction thereof 289
294, 295.—Anterior median third nasal deficiency and correction thereof 292
296, 297.—Anterior inferior third nasal deficiency and correction thereof 294
298 a, 298 b.—Anterior superior and inferior third nasal deficiency and correction thereof 301
299, 300.—Anterior total nasal deficiency and corrections thereof 303
301.—Untoward effect of paraffin injection about lobule and anterior nasal line 311
302, 303.—Profile view, showing correction of antero-lateral deficiency about chin 330
304, 305.—Frontal view, showing correction of antero-lateral deficiency about chin; also correction of deficiency of cheeks 332
Rhinoplasty
306.—Deficiency of superior and middle third of nose 342
307.—Post-ulcerative deformity of superior third of nose 342
308.—Loss of right ala, lobule and columna 342
309.—Loss of lobule, inferior septum and columna 342
310.—Ulcerative loss of right median lateral skin of nose 343
311.—Loss of nasal bones, partial dorsum, lobule and septum 343
312.—Destruction of nasal bones with dorsum and lobule intact 343
313.—Total loss of nose 343
314, 315, 316.—Koomas method of rhinoplasty 353
317.—Graefe method of rhinoplasty 353
318, 319, 320, 321.—Delpech method of rhinoplasty 354
322, 323.—Lisfranc method of rhinoplasty 355
324.—Labat method of rhinoplasty 356
325.—Keegan method of rhinoplasty 356
326.—Duberwitsky method of rhinoplasty 357
327.—Dieffenbach method of rhinoplasty 357
328.—Von Ammon method of rhinoplasty 358
329.—Auvert method of rhinoplasty 358
330.—Von Langenbeck method of rhinoplasty 359
331, 332.—Petrali method of rhinoplasty 360
333.—Forque method of rhinoplasty 361
334.—D’Alguie method of rhinoplasty 361
335.—Landreau method of rhinoplasty 361
336.—Von Langenbeck method of rhinoplasty 361
337.—Von Langenbeck method of rhinoplasty 362
338.—Szymanowski method of rhinoplasty 362
339.—Nélaton method of rhinoplasty 365
340.—Heuter method of rhinoplasty 365
341.—Bürow method of rhinoplasty 365
342.—Szymanowski method of rhinoplasty 366
343, 344.—Serre method of rhinoplasty 367
345, 346.—Maisonneuve method of rhinoplasty 369
347, 348, 349.—Dieffenbach arm-flap method 373
350.—Szymanowski arm-flap method 375
351.—Fabrizi arm-flap method 376
352, 353.—Steinthal thoracic flap method 377
354, 355.—Volkman method of rhinoplasty 379
356.—Keegan method of rhinoplasty 380
357, 358.—Verneuil method of rhinoplasty 380
359, 360.—Thiersch method of rhinoplasty 381
361, 362.—Helferich method of rhinoplasty 382
363, 364.—Sedillot method of rhinoplasty 383
365.—Berger arm-flap method 385
366.—Berger retention apparatus 385
367, 368.—Szymanowski rhinoplasty method 386
369.—König rhinoplasty method 391
370.—Von Hacker rhinoplasty method, arrangement of frontal flap to allow chiseling 392
371.—Von Hacker rhinoplasty method, making osteo-periostic support 392
372.—Von Hacker rhinoplasty method, bone-lined flap in position 392
373, 374.—Rotter rhinoplastic method 394
375, 376.—Schimmelbusch frontal flap method 395
377, 378.—Helferich rhinoplasty method 397
379, 380, 381.—Krause rhinoplasty method 399
382.—Nélaton rhinoplasty method 400
383.—Nélaton rhinoplasty method, making bony support 400
384.—Nélaton rhinoplasty method, cutting through bony plate 401
385.—Nélaton rhinoplasty method, disposition of frontal flap 401
386.—Israel method, forearm flap 402
387.—Israel method, position of forearm to place flap 403
388.—Nélaton method, outlining frontal flap 407
389.—Nélaton method, locating cartilage strip 408
390.—Nélaton method, excision of cartilage strip 409
391.—Nélaton method, placing of cartilage strip 410
392.—Nélaton method, bringing down frontal flap 411
393.—Nélaton method, placing frontal flap 411
394, 395.—Steinhausen partial rhinoplasty method 412
396, 397.—Neumann partial rhinoplasty method 413
398, 399, 400.—Later Neumann partial rhinoplasty method 415
401.—Bardenheuer method, shape of flap 416
402.—Bardenheuer method, disposition of flap 416
403.—Ollier method first step 417
404.—Ollier method, second step 418
405.—Ollier method, position nasal bone occupies 418
406.—Von Langenbeck method, first step 419
407.—Von Langenbeck method, showing separation and elevation of nose flaps 419
408.—Nélaton method, first step 421
409.—Nélaton method, making lower nasal flap 421
410.—Nélaton method, forming base of nose 422
411.—Nélaton method, ultimate disposition of flap 422
412.—Bayer-Payr restoration of lobule, first step 425
413.—Bayer-Payr restoration of lobule, disposition of flaps 425
414.—Bayer-Payr restoration of lobule, placing of pedicles after division 425
415.—Ch. Nélaton method, attachment of forearm flap 426
416.—Ch. Nélaton method, forearm flap in position, lateral flaps 426
417.—Ch. Nélaton method, disposition lateral flaps 426
418.—Denonvillier method, making of flap for ala 428
419.—Denonvillier method, disposition of flap for anterior pedicle ala 428
420.—Denonvillier method, making of flap for ala, posterior pedicle 428
421.—Denonvillier method, disposition of flap for ala, posterior pedicle 428
422, 423.—Mutter method of restoration of ala 429
424, 425.—Von Langenbeck method of restoration of ala 430
426.—Busch method of restoration of ala 430
427.—Dieffenbach method of restoration of ala 431
428.—Dupuytren method of restoration of ala 431
429.—Fritz-Reich method of restoration of ala 431
430, 431, 432, 433.—Sedillot method of restoration of ala 432
434, 435.—Nélaton method of restoration of ala 433
436, 437.—Bonnet method of restoration of ala 434
438, 439.—Weber method of restoration of ala 434
440.—Thompson mucosa flap 435
441, 442.—Thompson method of restoration of ala 435
443, 444.—Blandin method of restoration of ala 436
445, 446.—Von Hacker method of restoration of ala 436
447, 448.—Kolle method of restoration of ala 437
449.—Denonvillier method of restoration of ala 438
450, 451, 452.—Von Hacker method of restoration of ala 439
453.—König method of restoration of ala 440
454, 455.—Kolle method of restoration of ala 441
456, 457.—Kolle method of restoration of lobule 442
458, 459.—Blandin method of restoration of subseptum 444
460, 461.—Dupuytren method of restoration of subseptum 445
462.—Serre method of restoration of subseptum 445
463, 464.—Dieffenbach method of restoration of subseptum 446
465.—Heuter method of restoration of subseptum 446
466.—Szymanowski method of restoration of subseptum 446
467, 468.—Szymanowski method of restoration of subseptum 447
Cosmetic Rhinoplasty
469 a, 469 b.—Monk method of correction of angular nose 450
470, 471, 472.—Median nasal incision for angular nose 451
473, 474.—Kolle method of lateral incision for angular nose 452
475, 476.—Kolle chisel set 453
477.—Kolle metal mallet 453
478, 479.—Kolle method of correction of retroussé nose 454
480, 481.—Kolle method of correction of broad lobule 456
482, 483.—Kolle method of correction of elongated lobule 458
484.—Kolle method of correction of elongated lobule and base of nose after excision 460
485.—Kolle method of correction of elongated lobule base of alæ and lobule 460
486, 487.—Kolle plaster cast of lobule operation 461
488, 489.—Kolle plaster cast of lobule operation 462
490, 491.—Kolle plaster cast of lobule operation 463
492, 493.—Kolle plaster cast of lobule operation 464
494, 495.—Gensoul method of correcting broad nasal base 465
496, 497.—Kolle method of correction of broad nasal base 465
498, 499.—Linhardt method of reduction of thickened alæ 466
500, 501.—Dieffenbach method of reduction of thickened nose 467
Electrolysis in Dermatology
502.—Electric wet cell 470
503.—Series connection of cells 472
504.—Shunt rheostat connection 473
505.—Cell selector 474
506.—Cell selector and battery connection 474
507.—Milliampèremeter 475
508.—Direct current wall plate 475
509.—Wall-plate connections 475
510 a.—Portable wet cell apparatus 476
510 b.—Portable dry cell apparatus 477
511.—Sponge electrode 478
512.—Arm electrode 478
513, 514.—Electrolytic needle holders 479
515.—Interrupting current needle holder 479
516.—Needle holder with magnifying glass 479
517.—Epilating forceps 481
518.—Electrolysis method for destroying growths 483
519.—Multiple needle electrode 484
520.—Kolle electric apparatus for tattooing scars 487
Case Recording Methods
521.—Nose stencil 492
522.—Method of making nose plaster cast 494