Patient: Examination and laboratory tests: After your examination, it is true that the tip of the nose is protruding from the ear cartilage and is slightly crooked Treatment: I would like to make an appointment for your surgical repair You advised me to have a dermal rhinoplasty, but I lost the business card you gave me after I got home and lost your contact information. But my question is 1, what kind of material should I use? 2, if I use silicone again, can I avoid the current crooked nose situation? I’m very worried and I’m afraid to use it.3 Although the survival rate of dermis is very high and safe, the height of dermis is very limited. What should I do for a second rhinoplasty? I hope to answer and give me a contact (your number was lost) Shanghai Jiaotong University Medical School Affiliated Ninth People’s Hospital Plastic Surgery Department Chen Fuguo: Sorry, recently surgery, rarely on… No matter what material is used for the back of the nose, if the tip of the nose wants to be beautiful, it must be shaped with cartilage alone… If you can make a beautiful nasal tip with silicone prosthesis, which doctor is still willing to go to such trouble to use cartilage to sculpt the nasal tip? Rhinoplasty with cartilage has an international history of nearly 90 years! Only the history of our country’s nasal beauty is relatively short, our nine hospitals to teach the nation’s doctors the method is still the basic rhinoplasty, so most doctors will still only prosthetic rhinoplasty – also have good results, is not delicate, and the prosthesis is easy to contour, crooked, floating, nasal tip penetration, deformation. Generally, if you do the nose for the second time, you should use autologous dermal fat or cartilage if the skin on the back of the nose is thin; the tip of the nose can only use cartilage – unless you are not too concerned about the shape of the tip.