Most of the noses in China are characterized by a low nasal bridge, an enlarged nose (garlic nose), exposed nostrils, and a low nasal tip. Traditional rhinoplasty mostly focuses on the shape of the nasal bones and nasal dorsum, while ignoring the key role of the nasal tip in the overall shape. Therefore, for a patient with poor nasal tip shape, satisfactory results cannot be obtained by general rhinoplasty alone. Nowadays, the autologous composite cartilage scaffolding technology is used for rhinoplasty, focusing on the tip part of the nose, which is like a dragon painting, making the effect of rhinoplasty reach an unprecedented level of perfection. Nowadays, the tip rhinoplasty is carried out according to the anatomical characteristics of the tip of the nose, to reshape the structure that supports the tip of the nose, which includes the all-round shaping of the skin soft tissue, nasal cartilage, lateral nasal cartilage, nasal septum cartilage and other parts; to make it reach the three-dimensional aesthetic standard, the tip rhinoplasty is divided into hypertrophic nose reduction, round nose correction, nasal cartilage shaping, nasal column lengthening, nasal tip lifting, nasal tip pulling down In addition, the procedure is designed with a detailed analysis of the appearance of the nose and its relationship with each other, and a rationalized surgical plan is designed with a full understanding of the various surgical methods and roles of the tip. Rhinoplasty commonly used surgical methods: 1, support A nasal columella: is the most basic surgical method of nasal tip augmentation, in the side of the nasal columella through a vertical incision or nasal external method, inserted between the columella. It is not necessary to approach the nasal spine directly to obtain a fairly pronounced nasal tip augmentation. B Shield graft or cap graft cartilage: like a building requires a basic support bar, and autologous cartilage is used to build this support bar to shape the nasal tip. Generally the most used are septal cartilage and posterior ear cartilage. 2.Suture between the cartilages Suture the top of the nasal cartilage on both sides, making sure to maintain the symmetry of the nasal cartilage. 3.Suture after excision of nasal cartilage After vertical incision of both sides of nasal cartilage from the nasal tip dome, suture only the medial pedicle and the middle small column. 4.Shield graft The nasal septum cartilage, or cartilage behind the ear, can be used and sculpted into the shape of a ginkgo leaf. 5.Cap Graft To reveal the nasal tip performance point, the septal cartilage and posterior ear cartilage are used overlapping at the patient’s desired height. 6.Cushion graft Using cartilage piece to pad the lower part of the small column, not only the tip of the nose will be augmented, but also can improve the acute nasolabial angle. The above are the common surgical methods of rhinoplasty, can be used in combination according to the different situations of the candidates, will be better than the use of alone to get good results.