If the length from the root to the tip of the nose is about 1/3 of the whole face, if it is shorter than this or if the nasal lip angle is too large, the nose is turned up and looks short, commonly known as the “skyward nose”. “The causes of “skyward nose” are basically divided into two categories. The first category is the primary “skyward nose” caused by the nasal bridge being too short and the cartilage at the tip of the nose being displaced upward. The other type is the secondary “skyward nose” caused by complications after rhinoplasty. The “skyward nose” often causes excessive exposure of the nostrils and makes people feel like they want to get rid of it. At present, most of the primary nasal conspicuity belongs to the nasal tip that is shifted upwards, and the skin is relatively easy to expand and correct. However, if the nose is secondary, the scar tissue pulling and mucosal defects will restrict the extension of the nose length. The plastic surgery method of “Pilgrim nose”: a. Take the cartilage of the ear turbinates and nasal septum cartilage. The skin of the nose needs to be extensively peeled and relaxed, and in more severe pilose nose, even the mucosa of the inner layer of the nose needs to be extensively peeled; third, the lateral nasal cartilage and the large wing cartilage are separated and loosened so that the large wing cartilage can move forward; fourth, the cut septal cartilage is used to make a wedge graft between the nasal septum and the nasal cartilage, and the cut septal cartilage is attached to the nasal septum, and the wedge graft is attached to the nasal cartilage at the end of the wedge graft, additional cap grafting of cartilage is performed to compulsorily lengthen the nose. V. A composite graft of auricular cartilage between the nasal cartilage can also be used to lengthen the nose. The skin will not expand immediately after the surgery, and it will take about 4 weeks for the skin to expand and gradually appear to lengthen the nose, so it should be explained to the patient in advance. Benefits of using septal cartilage: 1. Same cartilage characteristics, same support as the original septum Good and stable tissue compatibility It is easy to be fixed and will not be displaced as it heals as one with the local nasal tissue; 2. It is autologous tissue and will not show rejection; 3. Usual nasal prosthesis material, the shape is more fixed (L-shaped), and can not make a beautiful nasal tip, while the use of nasal septum cartilage can completely achieve the effect of shaping the tip of the nose. 6. Realistic to the touch, no need to worry about normal contact with the nose after surgery, you can push and press the nose, and it feels soft and realistic. Our plastic surgery department in the in-depth study of the anatomy and aesthetics of the nose based on a comprehensive domestic and international rhinoplasty features, for “skyward nose” patients using nasal septum cartilage transplantation rhinoplasty correction surgery, significantly improve the nose shape, solve the current difficult to treat the “skyward nose”. It has significantly improved the nasal shape and solved the current difficult to treat “skyward nose”. It has brought a blessing to such patients.