Have y'all read the very-detailed Description text in the Patent-Application? I'm asking because the posted diagram is incomplete (it is missing "Figure 3", which kinda-sorta indicates y'all may not have seen everything there is to see in that patent. In its text, the inventor explains how his invention is an "improvement" over existing buttons.
One significant difference between this patented 1923 button and its 19th-century ancestors is that it is made of stamped 1-piece aluminum. Until the very-late 19th-century, aluminum was an
extremely rare and valuable metal ...in fact, priced higher than gold.
Despite this inventor's many claims of "improvement, I see only two other significant differences between typical 19th-century 4-hole buttons and his 1923 "improvement" of them. His button's holed area (which he calls the "web") is thicker, and the holes in it are beveled at their top and bottom (to prevent a hole's sharp edges from cutting the mounting-thread). Those two features are visible in his patent-diagram's Figure 3 ...which is absent from the .jpg posted by BCH.
To read that patent's full text and see the full diagram, go here:
http://www.pat2pdf.org/patents/pat1518717.pdf,