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John Orlando Roe, MD, an otolaryngologist from Rochester, NY, published this first article on cosmetic surgery of the nasal tip (Med Rec June 4, 1887), and followed up in 1891 with a description of cosmetic reduction of the entire nose (Roe JO: The correction of angular deformities of the nose by a submucous operation. Med Rec 1891;40:57); this latter publication preceded the reports of Jacques Joseph by seven years.
The operation for the correction of the deformity (pug nose) under consideration is easily performed, although I can find no record of it, and have no knowledge of its having been proposed or performed.
It may be classed about the same as the operation for strabismus, and, like many other operations, is mainly to improve the personal appearance of the individual.
The operation consists in the removal from the end of the nose that tissue which is in excess, or which
JOHN O. ROE. The Deformity Termed 'Pug Nose' and Its Correction by a Simple Operation. Arch Otolaryngol Head Neck Surg. 1989;115(2):156–157. doi:10.1001/archotol.1989.01860260030010