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March 1946


Author Affiliations


Arch Otolaryngol. 1946;43(3):283-292. doi:10.1001/archotol.1946.00680050298005

IT HAS been rather unfortunate that rhinoplasty was originated in obscurity and its progress hindered by the disapproval, even antipathy, of the great mass of the medical profession. Each rhinoplastic surgeon not only made his own errors but repeated the errors of others. That was the situation when I first started doing this work at the old Howard Hospital in 1926.

Conditions have changed since then. At that time the mere shortening and narrowing of the nose or the filling of a saddle nose was satisfactory both to the patient and to the operator. Since then the public has become plastic conscious—in fact, excessively so. Today the public expects results that as yet are too often impossible to attain.

A patient may have a tremendous nose. The skin is extraordinarily thick, with secretions oozing out of the pores on the slightest pressure. She requests a small, thin nose. We tell

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