The most common nasal defects in China are low nasal bridge, enlarged nose, low nasal tip, thick and wide nasal wings, and forward facing nostrils, and often several defects exist at the same time. But at present, the usual domestic rhinoplasty surgery is simple rhinoplasty. Many patients and plastic surgeons want to improve the shape of the nose by shaping the nasal prosthesis in rhinoplasty, but the result is often very little, so that there are many unattractive and unnatural after rhinoplasty, or because the tip of the nose is deformed by the excessive support of the nasal prosthesis, so that the skin at the tip of the nose becomes thin, or even cause serious complications such as skin penetration at the tip of the nose. The technical characteristics of comprehensive rhinoplasty: 1, a comprehensive solution to several defects coexist nose problems Rhinoplasty is a relatively common plastic surgery in China, and many people have undergone rhinoplasty, but there are many people’s post-operative results are far from the standard nasal shape, the reason for this situation is that traditional rhinoplasty is simply rhinoplasty, through the sculpting of the prosthesis trying to improve Nasal shape, and more nasal defects are caused by the imperfect development or overdevelopment of the internal structure of the nose, for example, the imperfect development of nasal cartilage will cause a low nasal tip, nostrils skyward; nasal soft tissue overdevelopment can make the nasal head hypertrophy, nasal wings wide; nasal bone overdevelopment and will appear the phenomenon of hump nose. Most people often have several defects at the same time, these defects are due to the internal structure of the problem, relying on a single surgery can not really solve completely. The new “Comprehensive Rhinoplasty” is a comprehensive approach to the internal structure of the nose to create a perfect nose that meets the standard, which improves the limitations of traditional single surgery and really solves their nasal defects completely. 2, in line with the physiological characteristics of the nose autologous composite cartilage scaffolding technology Clinical rhinoplasty surgery, many cases need to shape the tip of the nose, such as nasal hypertrophy, low nasal tip, nostril skyward and other problems have to deal with the nose to get a good effect. And traditional rhinoplasty in dealing with the problem of the tip of the nose are often just the use of silicone prosthesis to elongate the tip of the nose, due to the hard texture of silicone prosthesis, if once the excessive pull down or lift the tip of the nose, it may directly lead to serious complications of prosthesis exposed, this situation is also common in clinical. In response to this drawback, the autologous composite cartilage scaffold technology was introduced, choosing the same cartilage ear cartilage combined with nasal septum cartilage to form a cartilage scaffold to shape the tip of the nose, its scaffold for tip rhinoplasty in line with the physiological characteristics of the nose, the use of autologous cartilage and the advantages of good tissue compatibility to make up for the defects of silicone prosthesis, so that the tip of the nose natural shape, feel real. The serious complication of exposed prosthesis is completely eliminated. 3, the removed cartilage cleverly combined together to support the low and rounded nose Comprehensive nasal plastic surgery, advocating the adoption of ear cartilage pad nasal tip, but many people will take down the ear cartilage flakes directly to the tip of the nose, which is only a form of ear cartilage pad to the tip of the nose, and does not allow the cartilage to play the role it should have played. Because the thickness of the cartilage is limited, it is unable to support the nasal tissue, so the problem of a low, rounded nose is often not solved. The “comprehensive nasal plastic surgery” in dealing with the removed cartilage, will take out the cartilage thin slices cut and reshape the three-dimensional combination and then implanted at the tip of the nose, so as to achieve the role of supporting the nasal tissue, so that the low, round and blunt nose completely disappeared. 4, completely overturned the traditional rhinoplasty surgery does not advocate the removal of the soft tissue of the nose The soft tissue of the nose is distributed in the middle of the main nerve and blood vessels of the external nose, supplying blood flow to the external nose. Therefore, the traditional rhinoplasty in dealing with the nasal soft tissue overdevelopment of the nasal head hypertrophy, round and blunt and other problems will not remove the soft tissue of the nasal head, fearing that this will damage the blood flow caused by nasal tissue necrosis, but simply suture the nasal cartilage to the middle to change the shape of the nasal head, this treatment actually did not really improve the nasal head hypertrophy, round and blunt problem, hypertrophic tissue still exists, we believe that we must start from the problem We believe that the problem must be solved from the root of the problem, only by removing the excess soft tissue can we achieve the perfect effect, and successfully avoid the occurrence of necrosis of the nasal tissue, so that the hypertrophic nose becomes compact. 5, careful selection of prosthesis, to avoid postoperative complications The choice of nasal prosthesis is a very important part of rhinoplasty surgery, the choice of prosthesis is suitable will also affect the postoperative effect. In the choice of nasal prosthesis before the first to assess the thickness of the skin of the nose. Patients with too thin skin on the back of the nose are usually not recommended to choose silicone prosthesis, because silicone prosthesis is hard and has the property of inhibiting tissue regeneration, using silicone prosthesis for rhinoplasty in the case of thin skin on the back of the nose, the prosthesis will stimulate the skin on the back of the nose to become thinner and thinner, and red, translucent, easy to see the contour of the prosthesis and appear too heavy artificial traces. Therefore, for patients in such a situation, soft puffy material with good tissue compatibility is chosen to avoid these complications. On the other hand, patients with thick nasal soft tissues should use silicone materials to inhibit tissue regeneration in order to prevent excessive postoperative growth and thickening of the nose. In short, it is important to use the characteristics of various materials, to play to their advantages, and to choose the prosthesis carefully for different situations to ensure the post-operative effect. 6, the perfect scarless surgical incision in rhinoplasty, a change in the traditional surgical incision location, the incision from the edge of the nostril to the nasal dome inside, not only hidden location, and the postoperative scar is not obvious, but also to eliminate the nostril edge incision may cause the phenomenon of nostril deformation. In the comprehensive rhinoplasty surgery, the horizontal or “V” shaped incision of traditional surgery is abandoned, and a more complex and tortuous incision is adopted to reduce the tension of the incision, speed up the wound healing, and prevent the appearance of scars.