The surgeon in making flaps should use the greatest gentleness in handling them to prevent pressure gangrene. His finger tips are far better than fixation forceps. Sharp tenaculi may be employed with gentle traction only. Never permit the use of serrated forceps in autoplasty. In cutting, employ the rules laid down under the principles of plastic surgery, and in dressing flap operations such methods as have been heretofore described. =Dressing.=—Do not be too hasty in dressing such wounds, as early interference often results in partial if not total loss of the flap. The author has found that in flap operations blood dressing under perforated rubber tissue is best. This helps to give nutriment to the parts and permits of free removal of the dressings. Never apply the blood treatment on gauze, since the latter is liable to become hard and attached to the suture lines, requiring undue force for its removal. =Care of the Nares.=—Remove all packing from the nares before fixing the lobular section of the flap, and have all bleeding controlled before suturing the part of the flap intended for the columna. Blood clots tend to pressure and infection. If nare tubes are used rather let them remain in place for some time than to drag them forth forcibly. The interior nose and nares can be kept clean by gentle irrigation through them. =Number of Operations.=—Instruct the patient as to the probable outcome of the operation, and advise him that more than two or three operations may be necessary to correct the deformity. _Von Esmarch_ has said that twenty operations about the nose are none too many if the desired result can be obtained. Dieffenbach has said that it is more difficult to restore smaller nasal defects than those of greater extent. The latter applies particularly to cosmetic operations in which the surgeon is compelled to work through small openings or incisions always with the view of leaving little if any scar, and to place such scar where it may be least observed. The best cosmetic surgeon is he who can accomplish results with the least secondary disfigurement. PROTHESES When for any cause there is a loss of the entire nose, and the patient is unwilling to undergo surgical operation for its restoration, the surgeon may resort to the use of protheses or artificial noses. Such noses are made of papier-maché, rubber, wood, or light metal, and painted to imitate the color of the skin of the individual. They should be made after a model previously prepared by molding the new organ upon the face of the patient or after such patterns as the surgeons may have to choose from, fitting the skin juncture accurately in such cases. If the surgeon lacks such artistic ability, a sculptor should be employed to model the proper organ suitable for and on the face of the patient, from which a plaster cast or mold may be made from which the maker of protheses can work.