Remarkable strides have been made in the field of plastic and cosmetic surgery in the last fifteen or twenty years. The defects brought about by modern warfare provided a large experience in reconstructive surgery. Congenital defects, and those caused by syphilis, tuberculosis and carcinoma, necessitated the development of a technic for their correction. During and since the World War, reconstructive surgery has grown to become a well known specialty, and remarkable results have been shown in rather hopeless looking cases. Plastic repair of traumatic deformities about the face was originally employed in this special field, but of late years the tendency has been to drift to the more lucrative and less laborious cosmetic field. However, I wish to consider only those cases of the true reconstructive type, namely, those in which there is a total or subtotal loss of parts.
Gillies,1 one of the inventive geniuses in