Early rhinoplasty focused on the shape of the nasal bone and nasal dorsum, ignoring the key role of the nasal tip in the overall shape. Regardless of the shape of the tip of the nose, as long as the dorsum of the nose is low, all rhinoplasty, high dorsum of the nose is chiseled bone hump rhinoplasty. In fact, for a low nose with a poorly shaped tip, the feeling after rhinoplasty is always less than perfect. At this time, if you can do tip rhinoplasty, it is like a finishing touch, which can create a sense of unexpected beauty. In addition, there is a part of the people, the height of the back of the nose is suitable, only the tip of the nose has defects, this time more need to shape the tip of the nose. Correction of low nasal tip: Cartilage transplantation method: make a nasal incision in the nostril or make an incision in the cartilage to reveal the nasal cartilage and nasal cartilage, and remove the head side of the nasal cartilage or the tail side of the nasal cartilage, depending on the situation. The cartilage is then cut and shaped and sewn to the top of the fornix to elevate the tip of the nose, and the cartilage of the turbinate can also be cut for transplantation. Bilateral nasal cartilage feet close together method: make bilateral lateral incision of the nasal columella, reveal the medial foot of the nasal cartilage and the fornix, excise the soft tissues between the two medial feet, and then do mattress-type suture in its near upper and lower end of the 1 needle, you can be double medial foot close together, can raise the tip of the nose 2 ~ 3mm. Nasal base wedge-shaped excision method: such as the tip of the nose in good shape, only slightly low, in the bilateral nasal base excision of a piece of wedge-shaped full-thickness tissue, make the nostrils inward, transplantation, also can be cut the ear turbinate cartilage. If the nasal tip is in good shape and only slightly low, a wedge-shaped piece of full-thickness tissue is removed from the base of the nasal wings on both sides to make the nostrils inward and the fornix protrude upward, which raises the nasal tip. Super high nasal tip correction: Suitable for a tip that protrudes excessively, it is the transition from the dorsum to the tip of the nose that is elevated in a flat and straight manner. If there is a large curvature of elevation, it is called super high nasal tip. An intercartilaginous incision is made, the dome of the nasal cartilage is separated retrogradely to the caudal side, and a section of the most prominent portion of the dome is appropriately excised in its entirety, with the broken end sutured. The cartilage on both sides of the joint is interrupted and superficially dissected with the aim of weakening it and forming a tip that is cocked but not sharp. The excised portion can also be located at the base of the medial foot of the nasal cartilage, but its effect is not as good as the excision in the fornix. Obtuse flat nasal tip correction: When viewed from above, the aesthetic standard nasal tip is conical, and an obtuse flat nasal tip that is contrary to this is clearly unattractive. An incision is made at the edge of the nasal flanks within the nostrils to completely expose the vaults of the bilateral nasal cartilages. Then 3 to 6 incisions are made on its surface, but not cut through. The soft tissue between the medial feet of the nasal cartilage is excised, and the two medial feet are brought together with mattress sutures. If the tip of the nose is low, cartilage can be transplanted to raise it. Nose Tip Correction (Nose Reduction): This type of nose is commonly called a “garlic nose” because of the thick skin, the amount of subcutaneous tissue, and the hypertrophy of the cartilage support and the tendency to expand outward. The most challenging surgery to treat this type of nose tip is hypertrophic tip correction, i.e., nose reduction surgery, which is performed through a marginal incision or an intercartilaginous incision. The rim incision or inter-cartilage incision is used to completely expose and free the nasal cartilage and lateral nasal cartilage, and then remove the fibrous fat tissue in each area evenly. Then 1/2 to 2/3 of the lateral side of the nasal cartilage head is excised, and the lateral foot is rotated medially and cephalad, at which time the nasal wing is seen to be inwardly retracted. The cartilage is then interrupted and not severed at the dome of the nasal cartilage. Finally, reinforce the nostrils laterally and make a wedge resection at the base of the nose. If the tip of the nose is not high enough, the cut cartilage can be padded on the surface of the dome in order to elevate the tip of the nose. The choice of rhinoplasty materials: the previous tip augmentation surgery, usually choose silicone as the material, but due to the hard texture of silicone, the use of a long time, it is easy to cause skin irritation around the nose, excessive pull down, raise the tip of the nose these will lead to the prosthesis exposed. Cartilage nose tip augmentation avoids the above problems, it belongs to the human body’s own tissues, and the body has good compatibility, will not have any stimulation of the human body’s tissues and in line with the physiological characteristics of the tip of the nose augmentation plastic surgery is the best material.