Shown here in the right upper picture a deformity called saddle nose which is flattening of the nose as it merges with the face, this deformity was commonly seen in syphilis.This is a historical picture shows how they used to do a surgery before the time of penicillin. In the left picture they attach the middle finger to the nose and leave it for several weeks, then the middle finger gets amputated. The right lower picture shows the result of the procedure.Photo by drlindseyfitzharris