Nose Reshaping (Rhinoplasty) - Johns Hopkins Medicine for Dummies In the early 20th century, Freer, in 1902, and Killian, in 1904, originated the submucous resection septoplasty (SMR) treatment for fixing a deviated septum; they raised mucoperichondrial tissue flaps, and resected the cartilaginous and bony septum (including the vomer bone and