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In 1818, German surgeon Carl Ferdinand von Graefe released his significant work entitled. Von Graefe modified the Italian technique using a totally free skin graft from the arm instead of the original delayed pedicle flap. The very first American plastic cosmetic surgeon was John Peter Mettauer, who, in 1827, performed the very first cleft palate operation with instruments that he developed himself.

Another case of plastic surgical treatment for nose reconstruction from 1884 at Bellevue Medical facility was described in Scientific American. In 1891, American otorhinolaryngologist John Roe presented an example of his work: a girl on whom he decreased a dorsal nasal hump for cosmetic indications. In Full Article , Robert Weir experimented unsuccessfully with xenografts (duck breast bone) in the reconstruction of sunken noses.

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In 1898, Jacques Joseph, the German orthopaedic-trained cosmetic surgeon, published his first account of decrease nose surgery. In 1928, Jacques Joseph released Nasenplastik und Sonstige Gesichtsplastik. [] Development of contemporary techniques [edit] The father of contemporary cosmetic surgery is generally thought about to have actually been Sir Harold Gillies. A New Zealand otolaryngologist operating in London, he established a number of the methods of modern-day facial surgical treatment in caring for soldiers experiencing damaging facial injuries during the First World War.

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After dealing with the renowned French oral and maxillofacial cosmetic surgeon Hippolyte Morestin on skin graft, he encouraged the army's chief cosmetic surgeon, Arbuthnot-Lane, to develop a facial injury ward at the Cambridge Military Health Center, Aldershot, later on upgraded to a new health center for facial repair work at Sidcup in 1917. There Gillies and his coworkers developed lots of techniques of cosmetic surgery; more than 11,000 operations were performed on more than 5,000 males (primarily soldiers with facial injuries, typically from gunshot injuries). [] After the war, Gillies established a personal practice with Rainsford Mowlem, including many well-known patients, and travelled thoroughly to promote his innovative techniques worldwide.

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When The Second World War broke out, plastic surgical treatment provision was largely divided between the various services of the militaries, and Gillies and his team were split up. Gillies himself was sent out to Rooksdown House near Basingstoke, which ended up being the principal army cosmetic surgery unit; Tommy Kilner (who had actually worked with Gillies during the First World War, and who now has a surgical instrument named after him, the kilner cheek retractor) went to Queen Mary's Health center, Roehampton; and Mowlem went to St Albans.