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In 1818, German surgeon Carl Ferdinand von Graefe released his significant work entitled. Von Graefe modified the Italian approach utilizing a free skin graft from the arm instead of the initial postponed pedicle flap. The first American cosmetic surgeon was John Peter Mettauer, who, in 1827, performed the first cleft taste buds operation with instruments that he developed himself.

Another case of plastic surgery for nose reconstruction from 1884 at Bellevue Health center was described in Scientific American. In 1891, American otorhinolaryngologist John Roe provided an example of his work: a girl on whom he decreased a dorsal nasal bulge for cosmetic indications. In 1892, Robert Dam explored unsuccessfully with xenografts (duck sternum) in the reconstruction of sunken noses.

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In 1898, Jacques Joseph, the German orthopaedic-trained surgeon, released his first account of reduction rhinoplasty. In You Can Try This Source , Jacques Joseph published Nasenplastik und Sonstige Gesichtsplastik. [] Advancement of contemporary strategies [modify] The daddy of contemporary cosmetic surgery is usually thought about to have been Sir Harold Gillies. A New Zealand otolaryngologist operating in London, he established a number of the techniques of modern-day facial surgery in caring for soldiers suffering from damaging facial injuries during the First World War.

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After working with the distinguished French oral and maxillofacial surgeon Hippolyte Morestin on skin graft, he encouraged the army's chief surgeon, Arbuthnot-Lane, to establish a facial injury ward at the Cambridge Military Health Center, Aldershot, later on upgraded to a new medical facility for facial repair work at Sidcup in 1917. There Gillies and his colleagues developed numerous techniques of plastic surgery; more than 11,000 operations were performed on more than 5,000 men (mainly soldiers with facial injuries, typically from gunshot injuries). [] After the war, Gillies established a private practice with Rainsford Mowlem, including lots of popular clients, and took a trip thoroughly to promote his advanced methods worldwide.

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