What is commonly referred to as the nose is medically known as the tip of the nose. The cosmetic surgery of the external nose is collectively known as rhinoplasty (rhlnoplasty). In earlier years, rhinoplasty focused on the shape of the nasal bones and nasal dorsum, while the key role of the nasal tip in the overall shape was seriously neglected. Regardless of the width of the nasal tip, if the nasal dorsum is low, rhinoplasty is performed; if the nasal dorsum is high, chiseled bone hump rhinoplasty is performed. It seems that people do not have high demands on the aesthetics of the nose, and only seek to raise the low-lying nasal dorsum – “get rid of poverty” on the line, and no longer expect to “get rich” – – to shape a beautiful nasal tip. -A beautiful nasal tip. Therefore, for a low nose tip shape is not good, the feeling after rhinoplasty can not be the perfect point. At this time, if you can perform nasal tip cosmetic surgery, as if the last stroke of the dragon “eye-dotting”. In addition, there are some people, the back of the nose is suitable for high and low, but only the tip of the nose has defects and is not beautiful, at this time more need to perfect such a nose. The tip of the nose is determined by the structure of the support for the tip of the nose, the main role is played by the cartilage of the nose, the medial and lateral feet and the fornix; followed by the cartilage of the nasal side and the cartilage of the nasal septum. Generally speaking, the ideal nasal tip has a suitable prominence, 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 pedicle and the upper lip, and (3) the tip of the nose that is always higher than the dorsum of the nose. (As shown in the figure) The last of these points 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. 1, low nasal tip correction 1, cartilage transplantation method in the nostril nasal edge incision, or do cartilage incision, reveal the nasal cartilage and nasal cartilage, depending on the situation to remove the head side of the nasal cartilage or the tail side of the nasal cartilage part. The excised cartilage is cut and shaped, then 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.Bilateral nasal cartilage medial foot together method Make a bilateral lateral incision of the nasal column, reveal the medial foot of the nasal cartilage and the fornix, excise the soft tissue between the two medial feet, and then make a mattress suture at the upper and lower ends of each of them, that is, the two medial feet together. 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 from the base of the nasal wings on both sides to make the nostril inward and the fornix upward, that is, to raise the tip of the nose. Second, ultra-high nasal tip correction The nasal tip with suitable protrusion refers to 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 can also be located at the base of the medial foot of the nasal cartilage, but its effect is not as good as excision at the fornix. Third, the blunt flat nasal tip correction surgery When looking up, the aesthetic standard nasal tip is cone-shaped, contrary to this 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 bilateral nasal cartilage. 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. Fourth, thick 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 support is thicker and has the tendency to expand outward. The most challenging procedure to treat this type of nose is called tip reduction (tipreductlon), which is performed through a marginal incision or intercondylar incision. 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 l/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 interrupted at the fornix of the nasal cartilage and is not cut off. If the reinforced nostril or transverse nostril cannot become longitudinal yet, wedge-shaped excision is made at the base of the nasal wing; 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. There are many more contents about the cosmetic surgery of the nasal tip, which are not – repeated here. 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.