Whether the tip of the nose looks good or not is determined by the support structure of the tip of the nose, playing a major role is the inner and outer feet of the nasal cartilage and vault; followed by the lateral nasal cartilage, septal cartilage department. The ideal nasal tip has the appropriate prominence, angle and some delicate points and surfaces. Indications of nasal tip surgery: rounded and flat nasal tip, high nasal tip, nasal tip cleft and nasal tip cleft, eagle’s groove nose and other deformities. Nasal tip shaping surgery: 1, low nasal tip correction (1) cartilage transplantation method: in the nostrils to do the nasal margin incision, or to do the cartilage incision, revealing the nasal cartilage and nasal cartilage, depending on the situation of the removal of the nasal cartilage of the head of the lateral part of the nasal cartilage or nasal cartilage of the caudal part of the lateral part of the cartilage. After the cartilage is cut and shaped, it will be sewn on the top of the fornix to elevate the tip of the nose, and the cartilage of the turbinate can also be cut for transplantation. (2) 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 at the near upper and lower ends of the foot, that is, the two medial feet close together. This method can raise the tip of the nose 2-3mm. (3) Nasal base wedge-shaped excision method: If the tip of the nose is in good shape and only slightly low, a wedge-shaped piece of full-thickness tissue is excised at the base of the nasal wings on both sides to make the nostrils inward and the fornix protruding upward, which raises the tip of the nose. 2.Ultra high nasal tip correction The tip of the nose with suitable protuberance is the transition from the dorsum of the nose to the tip of the nose, which is a flat and straight elevation process. If there is a larger curvature of elevation, it is called super high nasal tip. Surgical correction gives good results. Make an incision between the cartilages, retrograde to the caudal side to separate the dome of the nasal cartilage, the most prominent part of the dome Appropriate full-layer excision of a section, the broken end suture. The cartilage on both sides of the junction is interrupted and superficially dissected with the aim of weakening it to form a craggy but not sharp nasal tip. The resected part can also be located in the base of the medial foot of the nasal cartilage, but its effect is not as good as the resection in the dome. 3, blunt flat nasal tip correction When looking up, the aesthetic standard nasal tip is cone-shaped, contrary to the blunt flat nasal tip lack of beauty. Surgery is performed by making an incision at the edge of the nose inside the nostrils, which completely reveals the vaults of the bilateral nasal cartilages. Then make 3-6 incisions on its surface, but not cut through. The soft tissues between the medial feet of the nasal cartilages are excised, and the two medial feet are brought together with mattress sutures. If the tip of the nose is low, the cartilage can be transplanted to elevate it. 4, hypertrophic nasal tip correction, people commonly called this kind of nose for “garlic nose”. The reason is that the skin is thicker, the amount of subcutaneous tissue is more, the cartilage support is hypertrophied and has the tendency to expand outward. Correction of a hypertrophic nasal tip is called rhinoplasty. The operation is performed through a marginal incision or an intercondylar incision. The nasal cartilage and lateral cartilage are completely exposed and free, and the fibrous fat tissue in each area is uniformly cut away. The lateral 1/2-2/3 of the nasal flank cartilage is excised, and the lateral foot is rotated medially and cephalad, at which point the nasal flanks are seen to taper inward. The cartilage is interrupted and not cut at the dome of the nasal cartilage. Reinforcement of nostrils or transverse nostrils can not become longitudinal, then do wedge-shaped excision 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. Eagle’s Nose Correction The lower end of the nasal dorsum has sagging cartilage, the outer nose is wide and long, and the tip of the nose is slightly curved towards the upper lip like an eagle’s beak, so it is called the eagle’s nose. This kind of patients often have obvious bulging in the middle of the nasal dorsum, which resembles the hump, so it is also called the hump nose. This deformity is mostly congenital, a small number of traumatic injury by the nasal bone caused by subperiosteal hematoma ossification. The part that forms the eagle hook is the place where the nasal bone and the upper cartilage from the overlap is composed of the cartilage and the nasal bone. Hawkish nose generally protrudes upwards from the bridge of the nose and is often accompanied by a wide nasal bridge. If the protrusion is severe, a bone file can be used to remove the protruding bone and then a surgery to reduce the width of the nose (osteotomy) is performed. In less severe cases, the protruding part of the nose is removed, and a silicone gel or other prosthesis is used to correct the hooked nose and slightly lift the drooping tip of the nose. Depending on the specific situation, a prosthesis that fits the curve of the nose is inserted into the bridge of the nose to change the contour and achieve a corrective effect. Indications of Hawk Nose Correction Surgery: 1. The lower part of the nasal bone is hump-like bulging and widening. 2. 2, Nasal septum cartilage is too long. 3, Lateral nasal cartilage, nasal cartilage medial foot is too long. Eagle hook nose correction surgery: 1, the eagle hook is not too serious, the nose is not wide to remove the eagle hook part of the bone, insert a prosthesis in the above can correct the shape. 2, the hawk is serious, the nose hypertrophy first after the hawk part of the exposure, clear up the cartilage and nasal bone part, the outward exposure of the nose part, in the nasal bone, artificially to the fracture. Afterwards, the fractured nasal bone is pushed inward, and a satisfactory correction is achieved by narrowing surgery. After the surgery, the fracture is fixed with a plastic splint and rested for a week or so.