Eschweiler particularly emphasizes the advocacy of oft-repeated injections, and the author recommends such rule without reserve or deviation. THE ADVANTAGE OF THE METHOD As has been said, the advantage of the Gersuny method over other procedures is that it can be undertaken practically without pain, that it is quick, bloodless, leaves no scar, and is harmless except under such conditions as will be referred to under a separate heading. While the method entails only the pain of a pin prick a local anesthesia may be employed to overcome this, but never a general anesthetic. The ethyl-chloride spray, except at very small points of the skin, is not to be recommended because it freezes and consequently hardens the very tissue which should be flexible, the operation being undertaken the moment the needle is inserted and lasting only a few seconds. The hypodermic use of a two-per-cent solution of cocain, or better Eucain β, can be employed, but the author sees no advantage in it, as the hyperemic engorgement following its use obliterates, to a certain degree, the actual extent of the deformity. It is desirable to obtain the best result to have the skin above the part as free as possible. When closely adherent it should be freed by the careful use of a delicate tenotome, inserted at the point where the injection is to be made, the same opening being used for the introduction of the needle of the syringe. If this opening has been made too large a fine suture of silk should be employed to bring the lips of the wound together before the injection is made; the needle point, being knife-edged, will not disturb the apposition and will tend to retain the filling if no undue pressure is used, as in the case of hyperinjection. UNTOWARD RESULTS Connell has tabulated the difficulties and dangers met with in this work as follows: 1. Toxic absorption. 2. Marked inflammatory reaction. 3. Loss of tissue, due to infection and abscess formation. 4. Pressure necrosis, caused by hyperinjection. 5. Sloughing of tissue as a result of the heat of paraffin. 6. Injection into very dense or inelastic structures, or where scar tissue is firmly attached to the underlying and adjacent parts. 7. Subinjection of too small an amount of paraffin with an insufficient correction of the deformity. 8. Hyperinjection with overcorrection of deformity. 9. Air embolism. 10. Paraffin embolism. 11. Primary diffusion or extension of paraffin (when first introduced) into adjacent normal structures. 12. Interference with muscular action of the nose. 13. Escape of paraffin after the withdrawal of the needle or primary elimination. 14. Solidification of the paraffin in the needle, which renders the injection difficult and causes injudicious expedition on the part of the operator. 15. Absorption or disintegration of the paraffin.