Pilgrim nose, as the name implies, means that the nostrils are facing upward, with more exposed nostrils and a shorter nasal bridge. One is the primary nose, which is mainly caused by congenital factors and acquired dysplasia. The other is secondary nose, which is usually caused by tissue atrophy after nasal trauma or nasal surgery. To determine whether it is a pilonidal nose, a clear diagnosis can be made based on clinical manifestations. Pilgrim nose is a relatively specific nasal deformity, mainly the result of nasal bone and nasal cartilage dysplasia. The frontal observation of the external appearance shows that the nose is not long enough; the side observation shows that the nasal lip angle is too large. The nostrils are enclosed by the nasal wing, nasal columella and nasal base, and their shape and size are related to the length of these three tissues and the curvature of the nasal wing. Pilgrim nose often has three deformities of nostril, nasal head and nasal small column co-existing. Different treatment methods can be used to treat different degrees of pilonidal nose. As the cause of the pilgrim nose is poorly developed nasal cartilage and lack of strong supporting materials, in order to better allow the tip of the nose to protrude forward and downward, one can use cartilage from other parts of oneself and transplant it to the tip of the nose to rebuild the tip support for the purpose of correcting the pilgrim nose. If the nose is mildly conical with a normal nasal bridge height, hyaluronic acid injection or ear cartilage grafting can be used; if it is accompanied by a low nasal bridge, L-shaped prosthesis implantation method or a comprehensive rhinoplasty surgery with rib cartilage combined with ear cartilage can be adopted. For the pathological type of Pilgrim’s nose, the treatment method is more complicated and often requires individual design of surgical plan according to the specific local conditions of the nose.