If the injected mass causing this state of affairs has been of liquid paraffin, the better method to pursue is to make several small incisions into the site of the injections and remove the little masses of solid paraffin as far as possible with the view of relieving the pressure or encroachment, at the same time alleviating the pain and stasis by the resultant depletion. Moist, hot applications should follow this procedure. The small wounds made in the skin will heal without suture, leaving hardly any perceptible scar. The author, however, advises against any mixture or liquid paraffin injections about the lobule, never having seen a satisfactory result when either had been employed. The post-operative treatment in uncomplicated cases may be of aristol and adhesive isinglass plaster or collodion. =Interlobular Deficiency.=—This condition is hereditary in the great majority of cases. The defect, while quite disfiguring, giving the appearance of a cleft nasal point, is easily corrected by the subcutaneous injection method. Paraffins of high melting points should, however, never be employed for this purpose for diverse reasons: first, the hardening of the mass after cooling causes too much pressure upon the small blood vessels at the point of the nose and results in more or less permanent discoloration of the tip; second, by reason of the pressure of a hard mass, at the end of the nose, considerable inflammation results which usually terminates in the evacuation of the entire mass and consequent cicatrization; third, by virtue of the greater irritating qualities of paraffin a greater amount of new connective tissue than necessary is thrown out, causing a general and hyperplastic rounding of the entire tip of the nose that requires surgical interference to overcome. In the illustration shown the patient’s nose was injected along the entire anterior line and the lobule with paraffin liquefied under heat. A marked post-operative inflammation resulted, with permanent redness of the entire organ and several decisive capillaries showing about the sides and tip of the nose. This was followed in about six weeks by a progressive hyperplasia which left the nose about three times its natural size, and the lobule a hard, ball-like knob of high red color. Several cosmetic operations were required to make the nose appear anywhere near normal, while the electrolytic needling process was resorted to for a number of sittings to destroy the acute redness and the individual vessels showing. [Illustration: FIG. 301.—UNTOWARD EFFECT OF PARAFFIN INJECTION ABOUT LOBULE AND ANTERIOR NASAL LINE. Scar lines on nose indicate the various attempts made to reduce the resultant hyperplasia.] While a great many workers with paraffin deny any beneficial results from the employment of sterile white vaselin for subcutaneous injections, the author claims that in this particular class of deformity it is almost exclusively required.