title: The birth of plastic surgery: the story of nasal reconstruction from the Edwin Smith Papyrus to the twenty-first century.
abstract: BACKGROUND
  The nose is the central and most prominent feature on the human face; and on its shape, size, and appearance depends the relative facial beauty of the person. The objective of this article was to give a succinct and interesting account of the development of nasal reconstruction from antiquity to the present day.
  
  
  METHODS
  The authors present the story of nasal reconstruction, including those contributions not often cited in the English literature using articles sourced from MEDLINE, ancient manuscripts, original quotes, techniques, and illustrations.
  
  
  RESULTS
  The story of rhinoplasty is one of peaks of achievement by individuals such as Sushruta, Branca, Tagliocozzi, Roe, and Joseph. Since Roe introduced the concept of cosmetic rhinoplasty, the evolution of nasal reconstructive techniques has reached such a level that the expectation is not only to restore form and function, but also to achieve excellent cosmetic appearance.
  
  
  CONCLUSIONS
  Although repair of nasal injuries is the oldest form of reconstructive surgery, being cited in Egyptian papyrus inscriptions such as the Edwin Smith Papyrus dating back to 2500 to 3000 BC, its complexity continues to challenge surgeons today. This article is dedicated to those individuals who have devoted their lives and work to the advancement of the field of plastic surgery for the benefit of mankind.
authors.affiliation: Wakefield, United Kingdom From the Department of Plastic Surgery, Pinderfield's Hospital.
authors.forename: Iain S
authors.initials: IS
authors.lastname: Whitaker
authors.forename: Richard O
authors.initials: RO
authors.lastname: Karoo
authors.forename: George
authors.initials: G
authors.lastname: Spyrou
authors.forename: Oliver M
authors.initials: OM
authors.lastname: Fenton
mesh_terms: D049668:History, 15th Century; D049669:History, 16th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D049690:History, Ancient; D006801:Humans; D012225:Rhinoplasty / Q000266:history*; D013518:Surgery, Plastic / Q000266:history*