Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
For this purpose a picture of a normal eye and its lids, a nose, lip or
ear, is drawn upon a piece of oiled or stencil paper, or upon any thick,
stiff book board.
The paper is laid down upon a plate of glass and the outlines of the
picture are cut out, wide enough to allow the sharpened point of a pencil
to pass. Where the lines are long it is advisable to allow connecting
links to remain at various intervals as desired to keep the stencil stiff
and to prevent cut margins from slipping or rolling up. (See Fig. 521.)
[Illustration: FIG. 521.—NOSE STENCIL.]
The stencil thus made is laid upon the record card and a tracing is made
upon the latter by passing the lead-pencil point along the cut outline.
The stencil is now lifted and the defect sketched into the picture of the
normal organ.
If this should be the anterior nasal line, a perfect sketch can be made
of the defect by placing a card alongside of that organ and drawing the
outline upon it as the pencil is made to glide over the nose, the point
facing the card in such a way that a true profile outline is obtained.
The card is then cut along the pencil line.
The nasal section of the card is now placed upon the stenciled nose and
its outer border traced into or over it, as the case may be, by drawing
the pencil point along the outer margin.
The same method may be followed post-operatio. This method can be
employed for the other parts of the face as well, as, for instance, the
mouth, ears, base of nose, etc.
Distances in measurements should be put into the record drawing to make
it more exact.
=The Rubber Stamp.=—Another method is to make outline sketches of normal
parts of the face with India ink upon drawing board and have those
reproduced in rubber stamps, using the stamp in place of the stencil and
marking in the defect in the manner before mentioned.
=The Plaster Cast.=—The best method by far, however, and the one found
most accurate, is the plaster cast. It is not a difficult thing to
make a cast of a nose, eyelid, lip, or ear, and the latter is much more
preferable to any other method of record.
For this purpose some modeling clay is required, which is molded into a
strip and laid around the part to be reproduced.
This forms a sort of raised ring or border and prevents the overflow of
the semiliquid plaster, and avoids the annoyance of trickling the liquid
upon other parts of the face about the site of the part worked on; at the
same time it permits of neatness and uniformity in the size and shape of
the casts to be filed away as records. (See Fig. 522.)
[Illustration: FIG. 522.—METHOD OF MAKING NASAL PLASTER CAST.]
The skin surface, and hair, if any, within this ring area, before using
this plaster of Paris, is now thoroughly coated with clean oil, or
petrolatum, applied with a soft sable brush. The inner and upper part of
the wax ring is also coated.
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