Silicone rhinoplasty has a history of nearly half a century, and because it is safe, reliable, affordable and easy to use, it is widely used and has gained wide recognition in the market, so much so that for a long time, the mention of rhinoplasty means silicone prosthesis rhinoplasty. According to the shape of the prosthesis, it can be simply divided into L-shaped, willow-shaped and shaped prosthesis, which can be chosen correspondingly for different nasal shapes and indications. With the economic development in recent years, cultural exchanges and integration at home and abroad continue to heat up, the aesthetics of the majority of friends, as well as the development of the requirements for refinement of details, thus leading to a boom in the academic international exchange of rhinoplasty. Although silicone prosthesis has many superiority, but its material itself has disadvantages, so for the repair of the nasal end and the individual design of the nose shape is limited. Therefore, the silicone + ear cartilage procedure was developed as a simple and effective way to make full use of the advantages of silicone while improving its own shortcomings. Because of the lack of support and shape of the ear cartilage, the ear cartilage is often used as a cushion on the surface of the prosthesis to prevent it from wearing out. Thus, the intention and advantage of cartilage shaping is also lost. Moreover, continuous pressure on the ear cartilage placed too shallowly can cause excessive outward contouring of the cartilage skin in the distant future, which itself breaks up and loses its support. Therefore, silicone or tumescent + simple ear cartilage liner is actually still a prosthetic rhinoplasty, which has not really adjusted and improved the fine structure and physiological basis of the nasal tip, and is not yet a truly comprehensive rhinoplasty. As a simple surgical method, it can solve some problems; but if it is introduced and charged in the name of “nasal synthesis”, friends are advised to keep their eyes open. Prosthesis + ear cartilage rhinoplasty is a kind of comprehensive rhinoplasty, but the support and long-term degeneration of ear cartilage alone is very heavy, it is difficult to achieve long-term results, only to solve simple problems, need to choose the right symptoms.