Aesthetically, a beautiful nose tip should be pointed but not sharp, curved but not blunt, with the front projection point located before the vertical line adjacent to the most prominent part of the upper lip. A natural, soft, protruding, slightly curved nasal tip can enhance the beauty of the whole face; on the contrary, if the nasal tip is large and blunt, it gives a dull and sluggish feeling. The nasal tip prominence is currently a common item in rhinoplasty, and is also the most difficult goal to accomplish in nasal tip surgery. In order to make you more aware of this, I will give you a detailed introduction below. There are various ways to increase the prominence of the nose. When the medial feet of the nose are moderately flared in their entry into the dome area, the tip prominence can be slightly increased by suturing the medial walls of the dome to each other and thus also straightening the flare of the medial feet in front (middle feet), but the prominence obtained by this method is more limited. The more common method of increasing tip prominence is through the insertion of grafts for nasal column support, which can be done in both an intranasal approach and an open approach. The endonasal approach is performed by making a vertical incision at the base of the nasal pedicle and then separating a cavity between the base of the medial pedicle and the incisal bone into which the supporting graft is placed, whereas the open approach is performed by making a subcutaneous cavity between the base of the medial pedicle and the nasal spine through the nasal pedicle incision, leaving a soft tissue lining between the nasal spines at the base of the cavity. The open insertion of the nasal column support graft increases the tip prominence much more. If further prominence is needed, a shield-shaped tip graft (usually from the nasal septum) can be used, with a cut in the middle of one end, leaving obtuse angles approximately 6 to 8 mm apart to form two nasal tip presentation points. The length of the graft varies depending on the amount of prominence required, but is usually about 10-12 mm. The incision is more discreet when placed through the intranasal approach, while the shield-shaped graft is more accurately placed through the open approach and can be sutured in place. The more tip projection needed, the higher the end of the graft will be beyond the dome. When more than 4 mm of nasal tip projection is required (usually secondary surgery or congenital deformity), autogenous rib cartilage is the preferred choice for nasal small column support grafts. The removed autogenous rib cartilage is sculpted into the desired shape and a groove is cut at the end so that it will ride on the nasal spine like a saddle and will not move from side to side, and almost 6-7 mm of nasal tip prominence can be obtained with this method. However, this method supports a relatively large graft, which is difficult to place in the cavity, and may widen the nasal tuberosity and limit the mobility of the nasal tip. An experienced surgeon will weigh these factors when designing the surgical operation to increase the tip prominence. Therefore, the choice of a suitable surgeon also plays a non-negligible role in the final result.