It has required many centuries, many wars and much medical curiosity to demonstrate that sculpture of living tissue is possible. Until the modern wars plastic surgery was practiced almost secretly by a few surgeons. There was a strange feeling that somehow surgical skill was being employed for rather unnecessary purposes when it was used to improve personal appearances. When plastic operations were used to correct deformities resulting from trauma received in war, it was seen that a tremendous psychologic improvement accompanied cosmetic improvement, and plastic surgery was adopted guardedly as legitimate surgery.
Since then much literature has appeared on the subject. The automobile accident has replaced the high explosive of war as the chief cause of deformities, and the plastic surgeon is required to exercise the same ingenuity to reconstruct and alter the shape of viable tissue after disfiguring automobile accidents as after injury in war. He also remodels hereditary
BROWN AM. PLASTIC OPERATIONS FOR HUMP NOSE: NOTES ON ARTISTIC ANATOMY. Arch Otolaryngol. 1940;31(5):827–837. doi:10.1001/archotol.1940.00660010841005
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