The San Francisco Examiner from San Francisco, California • 29

VMM WW a iss jl law -w- r- up- Didn't Like the Bulge in the One She Was Born With, No. 2 Caved In, No. 3 Had a Drooping Tip, No. 4 Was i w-k 1 w-k "XT 1 yi rretty uood out iNow one bomg to Have a Nice Turned- Up OneAnd All in Three Years I And Here Are the Four Noses' Miss Tortoni Has Had: Firat, There I the One She Wai Born With Quite Attractive, But She Didn't Like It im.iinmarr'ij-fiiiUfcfit So She Hnd It Charged by the Doctor, and Thin the Very Distressing; Result All Flattened in the Middle and Not to Be Compared to the Original. This I Her Third Nose with the Dent in It Built Up, Rut, Alas! A Drooping Tip.

J. riSS KAYO TORTONI was dissatis M' fied with her nose. It was a pood enouerh nose to look at, and she And This Is the Nose She Has Now, with the Dcnl Out snd the Tip Straightensd Up, But Still Not What She Wants. his enthusiasm, had sliced out too much cartilage, as the diagram shows. In straightening a deviated septum it is not necessary to cut away much of the cartilage, usually, because the bent part is minute in area.

But somehow Doctor Number On id And Here Is the None She Wants a Cute Little Turned-up One. carved out a great deal too much, and as a result the ridge of Kayo's nose had no support from the end of the na.sal bone downward, and since he had Hit awav some of the carti- lay between the bone back base of the nose, cj (j?) Up 1 0 2 tip had nothing to th it up. a matter of fact. hraoi As if he had cut just a bit How the Various Operations Were Performed. more, Miss Kayo's nose have waved in woul Tli' IWir fl.r II HnnU'l TnMnnl.

ry passing breeze, Ml Ml Tlrr Horror. Thill III. Ml TVHiini' Ili-r Oriirimil Vo Wtipn Mif lfrlliH In Hr II i lint.pl. Via 'initir Iti II'IIP nrl's in i TnmH-l IMir. In lnrfliis nn of I arlll.mi' I F.I In llif Oilier annum' il' Thlnl H'tilor Trxik K'll I'll" ikn'1 11 wlll l-nrirrr I nrltlnffi' from llhHiInc Vfuie Mini'' Ni''.

Hfhw- II Hlll Ihr ii I 1 1 I ih'' HrlrlRr I I Tlx' VI (). lllioiisti Bit In Hi!" Ilif Hi ni Ue t'nmirh In Mil Ihr Tif. In MrniMfitins ill. Ilenl llw' rir''n I "I Aoiv A unrl Whrn Shoulil Hjhf aa llnh A. Thi r- i tltllne -'lil 1U Ni.p lo the un.l I 1 Jk.

I A it would have been so limp. Promptly the dancer was a dancer, so probably it wasn't looked at much, anyway, but she didn't care for it. There was some sort of bulge inside it which interfered with her singing, and she anted to be a singer, as all dancers do. So she went to a doctor anil he fixed it so that it never looked the same, and that was the second nose Kayo Tortoni had, and the first of her four new noses. The trouble with her original nose, as the doctor explained, was a deviated septum.

The septum is the wall extending: downward from the nasal bone that divides the nose lengthwise into two cavities. It is made of a pliable cartilage, and it is easily bent or bulged. A deviated septum is a one, ami it is no uncommon thing. Few people have septums that are perfectly straight. In Kayo Tortoni's nose the bulge was very slight, and it did not hinder her breathing in even so strenuous an exorcise as her dancing, which is not of the living statuary order.

But it did prevent her from attaining the high head tones which her singing teacher thought she ought to attain, as singing teachers do. If the septum were straightened by removing the bulge she would be able to sound her high C's much better. So the doctor gave her an anesthetic, and with a little knife carved out a piece of the septum in which the bulge occurred Such an operation is a minor one. but it must be skilfully performed or the membrane that lines the nose will not heal properly and will leave bothersome soar tissue, which makes you catch cold quicker, and colds art even worse for singers than bent septums. The first of Kavo's many nose doctors, therefore, was very careful to make nice clean cuts and to s'terilize everything and to sew up the wound with fine stitches The wound healed, the delicate membrane showed no scar, the nose itself was not even sore after a short time.

Kayo eould breathe more freely, and she began to reach do-re-mi-fa-sols far above the Thenhe began to notice peculiar things about her face as she sat before her make-up table in the theatre She i u-hnt it was. but her HaH a rl thr llrltlcr In rtii'l IH- Tl i lrool, brought suit. One fof r.o,noo against Doctor Number Kayo never saw tho gen'le Mi Now or some such sum, and he was willing to Therefore she did not know, fot The preferred method is to transplant human bone or cartilage. The living tis- man. Here it was almost Spring and she was wearing the same old last year's nose.

It would never do, for young lady who set naal styles, to go around ariiig a sue settle, outside of court, for a paltry $25,000. It is partly with this 525,000 that Miss Tortoni buys new noses, a new model each year. Doctor Number Two studied caved- is grafted into place, ju.i he -Drafted onto trees. There have can er nose in the Spring. The doctor been eases where whole fingers have been Wint ner-siiudnd her to wait, however, and her nose very much as an some time, that he was milking a steady audience of himself.

But she noticed that now and then, as she danced dido the stage, her nose would twitch and wriggle arid behave in fantastic fashion. She thought perhaps the opt ration had failed in some slight detail and she had the doctor look over hi-, work. He found into faces to take the place ot entirely destroyed. caved-in bulling. ne graft' noses study where to prop and bract-, what trie out would be, and what to use in piaet stress Most nasal operations in plastic are removals of exeess bone or car- of the missing carviiiif.

Then he took a piece ol ivory, irora frm hooke.i noses. Not often does tdage patience was duly rewarded. Just before the Summer revues opened along came a young gentleman who thought his wi.ii' was ton big. He was more than pleas, to let as beautiful a person as Miss Tortoni have his excess cartilage. In fai if he had not quired a nasal operation he would surely have obliged with a rib or two.

as needed. So with tin job whatsoever. too, Vint to the then're when- urgeon have to supply part ot the intr wroni But he, th a contented elephant, no wnm. it into shape, made an incision in the upturn from the inside of the nostril, and the ivory into place. In no time at all this wound healed as perfectly as patient was dancing and there he his cartilaee.

When mot" cartilage is needed, however, it is usually taken from the nun hndv. either from a lower the oblic-nc young man. lb- my. fnnni hind the ear. the cartilage rih or rom the and d.ini was immediately cleared up.

It rilling af'o-l foot-i. The 'n M'- K-iyn's Kino's tivr eocter had done th's first. The bridge was proppeu uy resumed it former outline, and the hnd ivory in her head in a place In trc it. the doctor have th" car' ihige ha, et tery -t le-bt f. he wa-i of operation n.

and saw mat ort leftlv cut out. of takdnr wher n. of lot owner th. liecnme particular about in alcohol or hanging it on hi? warb home id to wag and ti r-liiiin its, If at bun. That whv Miss Kavo wants he could onlv fnnncrh rnrtilage irnm oiU- of her ribs.

He needed more and different cartilage than the back of her car could provide. theory as to Doctor Number Three, with the vomit: on it i'(-p (in-r, Mil i cartilage trued up iind ha(" d. man' not v. Tnrtnm is a dancer, as ouehed lor h- a theory nradi an incision Irom tn- V'i s-'id and cartilage r. moved from if the truth were to be known, Mis- am nostril, drew out the piece Miss Tortoni in One of Her Staje That Re's Not Only a Crest Drat of Herself, But the Reason hr She Can't Possibly Ha Any Cartilas Taken from Hertelf to Build Up ti Nose She Is Going to Have, Since It Would Inevitably Leave a Scar Which Would Inevitably Be Visible to Audience! Almot No Matter Wher It Wu.

Kayo has her rib would almost surely leave a scar. might not ouch for it either. Ka with his forceps, slipped in tbe car- ivory It lit In. thenrie are: that she feels it couiau "in expression seemed to be changing. i after the ot time after the it in the hone at tne tilagc was not until some opera in nmbent.

havinir started a style, to keep back base of her nose, and stitched up the There is no need to go into detail, but to those who have seen her on the stage it is obvious that she could not afford to have scars on her ribs in fact, on almost with it; and that her friends insist on on fremlevit changes just to ee now many part of he- body, it mignt ne saw. Tortoni, to be plain, does not dance anv Mis noses bv now a connoisseur of nasal beautv. in factand she decided that the tip of' her new, rebuilt nose drooped just a bit. It was nothing much, but he didn't quite care for it. Besides, sonv of her humorous friends thought it was appropriate to use the words "bone and "ivory" frequently in her presence.

To Dtctor Number Three, the well-known plastic surgeon Maxwell Maltz, she went, therefore, and be, after X-raying and measuring, submitted plans and specification? for Nose Number Three. He had a peculiar problem to overcome. Modem plastic surgery docs not particularly favor building up noses with foreign substances like ivory. No matter how skilfully the work is done, the ivory can never knit into the bone and cartilage. It is apt to get out of place, cause irritation, blood poisoning, and all sorts of disturbances.

noses she will ha Whatever the reason, h- is going to have another nose and she has planned wound. And that is the nose Miss Kayo has at time of rushing to pnss. By the time this is off press she may have another nose, but if not then. he cwtainly will have a new one later. There ale several theories as to whv she will have her fourth new too much elothes.

in any here. just what it wdl be then, could the doctor get uie Hp pondered the problem, and simple for the pListic surjrvon. He w-U! just slip in i'wiv cartilage and prop up the But it tv eartduge her own body though where it could come fwm without leaving in all too visible sc.ir has not been d. termined- cartilage? Th for a re-delicate par- new specitiCHtion-nose, which in it- tion, and then only wnen snt profile view of herself, that she diseo-ered what had happened. The shape of her nose was changing.

The bridee had caved in and the tip nad drooped until it seemed to dangle oyer her lips. It was a tragic discover-, because while dancers need not have perfect profilesfacial profiles, that is a nose ks peculiar looking as hers had btcome, was a disfigurement that could not be Doctor Number Two told her what had happened after he made an examination Of X-ray plates. Doctor Number One, in trousst she. At last be had a fine idea, not wait until -ome other patient so did Why nose. inn.n a tnnK nne It ill it her a not vouched for here, con One theory.

with too much nose came fuong i ne could then take from that patient cerns the young gentleman whose carti- i.iii. i. pr rt. nifty expression, and when she grows tired of it she can change to a classic Urce piotr shews Mrs T- docto The she wears. It is sa'd that ne arinvis lagc and her audiences in adv-u-e every performance which si-1: almot the vvc ss rartdage.

shape it up and graft it into Mis Tortoni's nose. Miss Kayo was impatient, however. Vill i Mil To give the retrousse effect will be her new nose ts jo-n to ou her. appears. I arrw Crrtl IWInn.