The nasal tip is determined by the structure of the scaffold that supports the tip of the nose. The main role is played by the medial and lateral feet of the cartilage of the nose and the fornix; followed by the lateral cartilage of the nose and the cartilage of the nasal septum. Generally speaking, the ideal nasal tip has a suitable protrusion, angle and some delicate points and surfaces. To obtain these features, the cosmetic surgeon is required to focus on: (1) the curvature of the fornix; (2) the angle between the nasal column and the upper lip; and (3) the tip of the nose that is always higher than the dorsum of the nose. The last of these is to show that the tip of the nose is the most prominent part from all angles, which is the most important requirement for successful surgery. The following is a brief description of several nasal tip cosmetic surgery. (A) low nasal tip correction 1, cartilage transplantation method in the nostril nasal edge incision, or cartilage incision, reveal the nasal cartilage and nasal cartilage, depending on the situation, remove the head side part of the nasal cartilage or the tail side part of the nasal cartilage. After cutting and shaping the cartilage, the cartilage is sewn to the top of the fornix to raise the tip of the nose, and the cartilage of the ear turbinates can also be cut for transplantation. 2. This method can raise the tip of the nose 2-3mm. 3, nasal base wedge excision method If the tip of the nose is in good shape and only slightly low, a wedge-shaped piece of full-thickness tissue is excised at the base of both nasal wings to make the nostrils inward and the fornix upward, that is, the tip of the nose is raised. (B) Ultra-high nasal tip correction The nasal tip with suitable protrusion is the transition from the nasal dorsum to the nasal tip, which is the process of flat and straight elevation. If there is a large arc raised, it is called ultra-high nasal tip. After surgical correction, the result is good. An intercartilage incision is made, the fornix of the nasal cartilage is separated retrograde to the caudal side, a section of the most prominent part of the fornix is excised in a proper full layer, and the broken end is sutured. The cartilage on both sides of the joint is intermittently and superficially cut, with the aim of weakening it and forming a nasal tip that is craggy but not sharp. The excised portion may also be located at the base of the medial pedicle of the nasal cartilage, but its effect is not as good as excision at the fornix. (C) blunt flat nasal tip correction When viewed in elevation, the aesthetic standard nasal tip is cone-shaped, contrary to which the blunt flat nasal tip is obviously not beautiful. Some people come to the cosmetic surgeon and say: “Please change my ‘pig nose'”. These words show that this kind of nose has reached the point where surgery is necessary. An incision is made at the nasal margin inside the nostril to completely expose the fornix of the nasal cartilage on both sides. Then 3-6 incisions are made on the surface of the cartilage, but not through it. The soft tissue between the medial feet of the nasal cartilage is excised, and the two medial feet are drawn together with mattress sutures. If the nasal tip is low, cartilage can be transplanted to elevate it. (D) Hypertrophic nasal tip correction People commonly call this type of nose “garlic nose”. The reason is that the skin is thicker, the amount of subcutaneous tissue is more, and the cartilage scaffold is thicker and has the tendency to expand outward. The most challenging procedure to treat this type of nose tip is called nasal reduction, where a marginal or intercartilage incision is made. The nasal cartilage and lateral nasal cartilage are completely exposed and freed, and the fibrofatty tissue is evenly cut away from each area. The lateral 1/2-2/3 of the nasal cartilage is excised and the lateral pedicle is rotated medially and cephalad, at which point the nasal wing is visible as an inversion. The cartilage is cut intermittently in the vault of the nasal cartilage and must not be cut. Reinforce the nostril or transverse nostril still cannot become longitudinal, then make a wedge-shaped excision at the base of the nose; if the nasal tip is less than high, the cut cartilage can be padded on the surface of the fornix to elevate the nasal tip. About the cosmetic surgery of the nasal tip, there are many more contents, here not – to repeat. In short, nasal tip cosmetic surgery is the same as rhinoplasty: complex and diverse, hidden and delicate. It requires a deep understanding of the aesthetics of the nose by the cosmetic surgeon. In addition, it is best to have some special surgical instruments, such as special scissors, forceps, pull hooks, etc.