When a portion or the whole of the nose has been destroyed by disease or accident, the deficiency may be restored by a transplantation of skin from an adjoining part, the operation being varied according to the extent of the deformity.

When the whole or greater part of the nose has perished, a triangular piece of leather is cut into the shape which it formerly presented, and is spread out flat on the forehead, with its base uppermost, and its shape marked out on the skin with ink. Then the remains of the old nose (if any) are pared and the margins of the nasal aperture are cut into deep, narrow grooves.

When the bleeding from these wounds has ceased, the flap of skin marked out on the forehead is dissected up, and all the cellular tissue down to the periosteum with it, so that it may hang attached, merely by a narrow strip of skin between the eyebrows When all bleeding has ceased, the flap is twisted on itself, and its edges are fitted into the grooves made for their reception, and fastened with sutures. The nose thus made is supported, but no1 stuffed, with oiled lint. Its warmth is supported by wrapping it in flannel, and if it becomes black and turgid, owing to the blood not returning from it properly, a leech is applied. When adhesion has thoroughly taken place, the twisted strip of skin, by which its connection with the forehead was maintained, is cut through, or a little strip is cut out of it, so that it may be laid down smoothly.