All the precautions of technic heretofore given should be employed. The reaction following such injections is never severe, and little or no treatment is necessary. The needle openings are covered with aristol collodion or the isinglass adhesive plaster. At the end of six months or more after the injected matter has been quite thoroughly replaced with new connective tissue it is often found necessary to inject small quantities here and there about the shoulders, owing to the contraction of the new tissue and its ultimate fixed disposition about the parts more than to the absorption of the mass injected. Furthermore, a certain amount of edema or swelling follows the injection of any foreign matter under the skin which is not, in cases of this kind, so readily absorbed, giving during that period of time a more pronounced contour or fullness, which, passing away in the natural course of events, does not imply the absorption of the matter injected—a statement so often made by those not in favor of using paraffins of low melting points for subcutaneous protheses. Such result, however extensive, as it might be in some cases for the lack of proper injection or in the case with oil injections is at all times correctable, while the hyperplastic knobs, so often following the injection of paraffins of high melting points about the shoulder, can only be removed by surgical means, which leave the parts more unsightly than before anything had been done for the patient. CHAPTER XV RHINOPLASTY (_Surgery of the Nose_) Rhinoplastic operations serve to correct deformities of or restore the nose. Such operations may involve only a part of or the entire organ, hence may be termed partial or total. Furthermore, a fine distinction may be drawn between general rhinoplasty as applied to such deformities when caused by traumatism, the excision of neoplasms or destructive disease, whether such correction be partial or total, and cosmetic rhinoplasty when such corrections are made purely with the object of improving the nasal form when the deformity is either hereditary or the result of remote accident. For some unaccountable reason the latter art has not met with the general favor the profession should grant it, yet the results obtained by such specialists as have undertaken this artistic branch of surgery have been all that could be desired, and have consequently added much to the comfort and happiness of the patient. Without a comparatively thorough knowledge of the extent of cosmetic rhinoplasty it would be difficult to draw any conclusion as to the value of this art. If it has not met with the favor it deserves it is solely due to the fact that the art has been limited to the few, and the literature on the subject is so meager, indeed, that the surgeon has been compelled in many cases to trust to his own originality in undertaking an operation of this nature.