The San Francisco Call. Newspaper, December 1, 1901, Page 11

THE SUNDAY CALL. lightest of them I have known in by a morbid sensitive- ing ears or disfigur- pleasure e within the power of pent s sufficlent In Where it is not, surgery must be substituted. No woman need resign herself to the fact that she must always have freckles, many n SAGSING CHEER OPERATION COMPLETED sagging cheeks or hanging eyelids. Those defects can be removed very easily. The surgical trealment for tightening up loose and flabby cheeks is partly shown here by photographs of the actual operations. You will notice in one picture that the subject is being treated for sagging cheeks. On the side of the face, just in front of the ear, a very small section of the skin is removed, after which the sagged cheek is, gently ralsed and #moothed, so that there is not a line to be scen nor a sign of sagging. Then a few stitches are taken. The patient feels no pain. Great care is taken to avold & scar. Previous to the operation I make the patient laugh, while I closely watch the effect on the eyes end mouth, and so gain knowledge of the size and location of skin to be removed. Then with instruments especially constructed for that purpose I test the degree of relaxation of the skin and the highest degree of tension which the stitches will bear, in order to get a perfect unfon of the edges of the skin After removal of the requisite amount, the stitches, which are adapted especially must be drawn not but just sufficfent- In these slight operations the usual rules of antiseptic surgery are as rigidly ob- served as if I were going to do deep ab- dominal operations, instead of cuts only rough the skin. This is not because of any Aanger of blood poigon, for T have yet to learn of a single case of blood poison resulting from my skin operations; but in order to avold leaving a visible scar. At the smeat of operation it is necessary to get healing by what is technically known as union by first intention, which means without any formation of pus, to avold which the work must be done undér the strictest antiseptic conditions. Indeed, it takes longer to prepare the skin to be treated, and to sterilize the instruments, my own hands and those of my assistants, than it does to perform the actual opera- tton. It takes only fifteen or twenty min- utes for each section of skin to be re- moved. I always laugh when some one asks me the frequent question: “Do you use chloroform?” It = an absurd question. I suppose, though, the word ‘operation” sounds rather terrific to the uninitiated. SEWING THE AFTER THE WRINKLE HAS BEEN REMOVED K CALENS ey S gl) «» INCIS)ON The truth is, my patients always sit calmly in the chair and watch the pro- ceedings by means of a hand mirror. They never feel the siightest pain from the beginning of the operation until the stitches are in and the dressing on. Sometimes a patient’s doubt of the pos- sibility of painless removal of a section of skin at first causes a little nervousness. But when the skin is removed and the patient informed of the fact her look of doubt changes to one of astonishment. This painlessness we owe to the late dis- coveries in the fleld of local anesthetics, The patient’s fears being allayed, she ie an interested spectator until the work 18 completed. Another picture shows how your scowl may be removed. With some people this 1s accomplished by dismissing a bad tem- per, but sometimes this bad temper or worry has dug lines too deep for dis- FMOVE: — v o O D ——— - % o | Have you wrinkles? Have you freckles? Do you liks to have them? ; | | For there is no reason why you should if you don't like to. | BSclence says so. | Sclence in the form of sur- | gery has discovered a method | | of doing away with thesa de- | \ fects. | | It ehaves away freckles. It | stitches the skin tight and ‘ smooth. It chisels out dainty | dimples, | | Moreover, it promises not to | 1 hurt. Read what Dr. Fowler | | has to say about the matter. | i S S missal. A sensitiveness in the eves, caus- ing them to squint in a strong light, may accomplish the same dire result. No, not dire. For surgery comes to the rescue ting a small plece of skin from 1, a dlamond-shaped plece be- 1es of the scowl, a cure is uc- 8 The edges of the skin are then drawn together in the same way us in the above described operation and the tightening process smooths out the lnes, The inciston 18 sewed and allowed to heal In the same manner, Dimples are within the reach of every one. It has been supposed that they could be ordered at will for stage purposes only, for it 13 only from the distance of the stage that penciled dimples are safe from detection. But surgery now cuts a dimple for you wherever you may wish it by [ e e e i i o | + | VERY boy who spends his summers E in the country knows something about fresh-water clams. He has found them abundant in every stream and pond in his vicinity, and he has seen collections of the shells on the banks, or near by, where muskrats have gathered for a social feast at midnight. As he grows older he will ponder deeply upon the unselfishness which could QUT_ THE FROWMN WRINKLE prompt and the self-control which could enable the unpretentious muskrat to make provision for the banquet and to share it with nig frlends. He has probably no- ticed, too, that where a clam has perished in the water the two shells commonly re- mate together, like the empty covers of an old book, while at the remains of a muskrat's supper they are always cut apart, unless the muskrats were fright- ened away before the meal was complet- ed. These muskrat eplcures learned long ago how to open a clam by cutting the ligature along the back and the muscle that holds the shell tightly together when the clam shuts itself up, BEvery such boy has seen, too, a long line, or little furrow, in the sand, under water, sometimes nearly straight, some- OPERATIO TO CORRECT means of the most delicate, finespointed instrument. As to the choice of mask or surgical treatment: If the skin is oniy discolored or wrinkled, the mask treatment is the bet- ter. The condition of tae skin is the only guide to a cholce of the method to be employed in the individual case. The mask treatment is invaluable for correct- ing laxity or wrinkles alone. But where there is great sagging the mask will be disappointing. The sagging must be cor- rected by the surgical process. Surgery often removcs physical defects in children. I had a very interesting lit- tle boy patient about a week ago. Ho had large outstanding ears and a smail growth on his nose. He was a very bright little chap, as well as a brave, and he, watched the entire cperation without a whimper, falling asleep before I had finished. 1 frequently growths remove from cnilaren. I never remove freckles froms thent until they are past their sixteenth year; then I remove freckles from the face and the removal is permanent. I have treated freckles on 75 or 100 faces in the last three months, removing them permanently in each case. Two of the young ladies went duwn to the beach after the treatment, and I asked them as a favor to try bringing back the freckles. When they returned home and called on me there was not a sign of & freckle or tan to be detected on either face; yet they sald they did nmot wear hats half the time wlen loafing on the sand, and they were in bathing part of the hot mornings. It is not advisable to use balms and lotions on any skin. If you must uge any let it be a pure almond cream. Wash the face always with distilled or rala water. Freckles and wrinkles ,once re- moved, you will find the care of the com~ plexion a simple matter. MAKING A DmPLe ¢ LS ) SAGGING CHEER times in graceful curves, and has often found, at one end, the clam that made it, upright on the edge, half-buried in the sand, but perfectly still and tightly closed. It was walking in the sand until the boy came splashing along; then it shut up and craftily looked like a clam., If it is left alone and everything s qulet for a long time it will begin to move, and the way it moves s one way of walking. The two shells of a mussel or fresh wa- ter clam, are allke—that is, the creature s “symmetrical,” at least externally. A narrow line of tough, fleshy substance, called the ligature, holds the shells to- gether along the back, much as the leath- er binding of a book holds together the two covers. The clam can open and close his shell as he pleases, and when all is qulet around him he changes from his un- soclal, clamlike attitude toward the world and begins.to relax and expand a little. First, after opening his shell, he puts out two fringelike pleces behind and begins to take good, long, full breaths again. For each fringe he has a tube, or ‘‘ori- fice,” in it, and through the lower tube the clam draws in a current of water which he drives out thrqugh the upper tube. So these tubes hayé been named the incurrent orifice and the excurrent orifice. They are not very hard words to remember when we understand the direc- tion of the movements of water that they stand for. Water contains air, and the clam breathes this air, as fishes do and some snails and other creatures that live in the water. The water flowing in also brings with it many tiny objects suitable for food, which are carried along to the sclam's stomach, and thus the clam Is able to both breathe and to feed by means of a current of water. One might suppose that a creaturs whose food came to it already prepared would have no need to roam about. It is a fact that the oyster settles down while still very young and never stirs from home again, but the clam finds it worth his while to move about, even though his steps are slow and his journeys are short. The clam's natural position is on the edge, about half burfed in the sand, with the hinge of its shell uppermost, with its fringes protruding slightly be- hind, and with the two shells parted & little beneath. Between these the clam puts out its foot and works it dnto the sand below. This foot is Soft seem- ingly shapeless, but capable of sxpansion and contraction to a remarkable degres, and very strong.