Granular cartilage transplantation rhinoplasty Rhinoplasty for cosmetic purposes first originated in Europe, with Germany as the leader, mainly for the Western ethnic groups with deformities such as hump nose, hawk nose, separated nasal tip, wide nasal head and wide nasal dorsum, etc. The techniques developed around these deformities have become stable and mature. The first to introduce and carry out such cosmetic surgery was Japan and Korea, who introduced western rhinoplasty techniques and improved them to establish a series of cosmetic techniques suitable for the Oriental nose. As we know, due to the anatomical differences between the East and the West, the nose of the Western race is tall and some people have overdeveloped nasal bones and nasal septum, so the tissue material provided for rhinoplasty is abundant, and the surgery is generally to lower the bridge of the nose and shorten the long nose, while the Oriental people are characterized by low and flat nose and collapsed nose, and the nasal bones and nasal septum cartilage are underdeveloped, so the surgery is generally to increase the bridge of the nose and lengthen the short nose, due to the lack of tissue In Asian countries, cosmetic surgeons mostly use synthetic or allogeneic tissue materials for nasal augmentation and lengthening surgery, with the increase of surgical cases, the disadvantages of such foreign materials gradually emerge, prosthesis displacement, infection, prolapse, allergy, skin breakdown, less natural shape, etc. are constantly reported and litigated, it is these prosthesis complications that lead many patients to switch to liquid materials for injectable rhinoplasty, from Omnidine to collagen, hyaluronic acid Uric acid began to take off, and autologous rib cartilage strip graft rhinoplasty also entered the clinic. They abandoned the “L” shaped silicone prosthesis and replaced it with a willow leaf shaped nasal bridge, and filled the nasal tip and nasal column with allogeneic dermis or autologous cartilage (auricle, nasal septum, rib cartilage), which improved the appearance of the nose while reducing the risk of prosthesis and became a classic procedure for Asian people. It has become a classic procedure for Asian rhinoplasty. Due to the difference between the East and the West, Westerners seldom do rhinoplasty, and the strict regulations on the implantation of prosthesis into the human body make rhinoplasty prosthesis little market in Europe and the United States, autologous rib cartilage, nasal septum cartilage is their most commonly used rhinoplasty material, the earliest use is strip cartilage transplantation, but soon found that this complete cartilage implantation with time can be distorted and deformed, resulting in external nasal morphology changes, some physicians to eliminate In order to eliminate this distortion phenomenon due to the imbalance of the intrinsic tension, the strip cartilage was cut with different depths on the surface in order to solve this phenomenon, which is a tedious operation. In 2000, inspired by this, Turkish doctor Eroc first proposed and reported the experience of granular cartilage graft for rhinoplasty, which was valued and adopted in the Western world. The Beverly Hills private clinic physicians, who have always adhered to advanced concepts and represented the trend of the American beauty industry, were also inundated with treasures, because with the influx of Asian immigrants and the improvement of social status, the pursuit of beauty nature and the reputation of starting with Hollywood pushed a large number of oriental rhinoplasty seekers to them, which made the Beverly Hills masters, who had little experience in oriental prosthesis rhinoplasty, both excited and helpless, and The timely emergence of the granulated cartilage grafting technique saved them, and in just ten years, a large number of candidates from different Asian countries (China and Taiwan, Vietnam, Korea, Japan ……) have embraced this rhinoplasty technique, and with the accumulation of experience and cases, the surgical approach and techniques have continued to improve and are very different from a decade ago, revolving around The operation is becoming more and more procedural and simple, and the shape of the nose is more natural, gradually becoming a school of its own, while the masters of Beverly Hills (Ellenbogen, Keyes) have also promoted this technique to all species The technique has achieved very good clinical results and reputation.