The nose is located in the center of the face, the most prominent position, and higher than the facial plane, was a triangular cone-like structure, in the face has an important aesthetic role; and because it is the beginning of the inhalation tract, play a role in heating and humidification and filtering cold air. Therefore, having a nose is a happy thing. However, there are many women who are not satisfied with their noses in normal life, and they think that their noses are big, low, flat, and collapsed …… In fact, these are small things that can be solved by having a nose cosmetic surgery in a regular plastic surgery hospital. In the nose by serious trauma infection, burns and tumor removal after the nose caused by most or all of the nose defect, a variety of congenital malformations caused by the nose part or all of the lack of defects and serious saddle nose, etc., will cause serious psychological and great mental pain, and therefore will have a strong desire to repair the nasal shape. What to do without a nose? In this case, it is necessary to go to the plastic surgery department for nasal repair and nasal reconstruction surgery. Nasal defect repair is a surgical modeling art, must be applied to the principles and methods of plastic surgery, careful design, exquisite surgery, in order to obtain satisfactory results. Plastic surgeons should be based on the parts of the nasal defect, scope, severity and other circumstances, to develop appropriate surgical program, using different methods for repair. Among them are flap method, skin grafting method, auricular composite tissue transplantation method. Clinically, most of the nasal defects are more serious, and scholars have recognized that frontal flap (also known as Indian flap) is preferred for partial or total nasal reconstruction. Advantages: frontal flap skin texture, color and surrounding consistent, and good blood supply. Disadvantages: direct frontal cutaneous flaps often do not have enough tissue and need to be implanted, leaving a large scar, and the color of the implanted area is inconsistent with that of the surrounding area. In recent decades, with the widespread use of skin tissue expanders in clinical practice, our department has adopted the expanded frontal flap method of rhinoplasty to treat many patients and achieved more satisfactory results than the traditional method. Expanded frontal flap method of nasal reconstruction 1, first of all, frontal expander implantation, generally need to be hospitalized; 2, to be well healed incision, regular frontal expander injection treatment, do not need to be hospitalized, but generally need to come to the hospital 1-2 times a week or their own in the local hospital for injection, generally need to take 3 months; 3, expander expansion is satisfied with hospitalized frontal expansion of the flap with the tip of the transfer of the nose reconstructive surgery; 4.About 1-2 months later, the reconstructed nose will be cut off; 5.After half a year to one year, the reconstructed nose can be trimmed once or several times depending on the situation until the nose shape is realistic and the effect is satisfactory. Advantages: 1. The texture and color of the skin of the reconstructed nose is consistent with the surrounding area, and the shape is realistic; 2. The scar left on the forehead after the operation is small and not easy to be seen, and the important thing is to avoid the obvious scar left on the forehead after the direct cutting of the frontal skin flap, the inconsistency in the color of the implanted area with the surrounding skin, and the depressed deformity due to the inconsistency of the thickness; 3. It can be applied to the patients who have a low hairline in the frontal area, and the patients who have a narrow forehead; 4. The tip of the flap is long. 4, the flap tip is long, not much tension when rotating downward, can fully ensure the blood supply of the flap, good survival; 5, at the same time, can also use the tissues of the tip to increase the bridge of the nose, especially suitable for Oriental people. Sometimes, if the patient’s forehead skin or blood vessel conditions are not good, you can also use the upper arm flap or abdominal flap transfer method or forearm flap, dorsalis pedis flap and other microsurgical methods, the choice of surgical methods need to be based on the patient’s own specific circumstances. When is the right time for surgery? 1.Congenital nasal defects are often combined with other craniofacial deformities, and need to be judged according to the overall situation. Considering the impact on development and psychology, it is recommended to consult the doctor at an early stage to formulate a plan. 2.Acquired nasal defects, generally in trauma, burns, frostbite or excision surgery healing for six months, after the local scar maturity of nasal reconstruction surgery.