In the traditional concept, rhinoplasty represents rhinoplasty, which is an easy and quick way to elevate the nose root, bridge and nose as a whole by implanting solid silicone implants into the nose. However, it is this overall elevation that leads to rhinoplasty: when pushing the nose with the hand, the bridge and the root of the nose also move together. This kind of prosthesis design precisely ignores the natural properties of the nose: we know that the upper part of the nose is bony ~ fixed and immovable; the lower part is cartilage ~ movable. Therefore, the surgery should follow the natural anatomical properties of the nose, and the modern rhinoplasty concept is no longer as simple as simply augmenting the bridge of the nose. Nowadays, many advertisements and websites, including some professional forums, can be seen everywhere proclaiming how rhinoplasty prosthesis, as if prosthesis is synonymous with rhinoplasty, and even proclaiming the solution of skyward nose through prosthesis. In the modern rhinoplasty concept, the prosthesis is only a small part, the focus is on shaping the nose through autologous cartilage, especially in the tip of the nose is determined not to use any prosthesis, including the expansion – although the expansion is currently recognized as the best prosthesis. Therefore, as early as a few years ago, some colleagues pointed out: prosthesis will eventually be eliminated! The elimination is not overnight, depending on many factors, of which, the needs of patients is the biggest factor. The top priority of rhinoplasty is tip rhinoplasty. Who has mastered tip rhinoplasty has mastered rhinoplasty. Only by cartilage can one make an aesthetically pleasing nasal tip prominence as well as a nasal tip performance point, and tip rhinoplasty is the jewel in the crown of rhinoplasty. The tip of the nose is composed of several subunits. A good nose shape can only be obtained with the right beautification and shaping of each subunit. Many friends are creeped out when they hear that cartilage is used to make the nose. In fact, this is a lack of understanding of cartilage. Cartilage includes ear cartilage, nasal septum cartilage and rib cartilage. Even if the rib cartilage is taken, it will not affect the local function and appearance, but will leave a scar of the incision at the extraction site – this scar will become less and less visible. The most commonly heard of is ear cartilage. However, the removal of ear cartilage is not the end of the story. Just because the ear cartilage is removed does not mean that you will have a perfect nose. Because the ear cartilage is not solid enough, also, it involves the application of cartilage technique. Ear cartilage can only solve part of the problem. There are also many doctors who will sew part of the ear cartilage to the tip area of the L prosthesis, and this is still reported in the literature in professional journals; this method is simple to operate. However, in the long term, this approach is not advisable. This is because: firstly, the compression of the cartilage by the prosthesis will cause the cartilage to lose some of its nutrients, which is detrimental to cartilage viability; secondly, the prosthesis in the tip area will also reverse the compression of the nasal cartilage, which will lead to deformation of the nasal cartilage over time. This, too, is the experience of my peers with the price of blood. The nasal cartilage is the most important scaffold for the tip of the nose. Therefore, no prosthesis can exist in the tip area of the nose! Ear cartilage is fine to be used as a shield graft and cap graft in the nasal tip area; it is far-fetched to be used as a support rod for the nasal columella. This would require nasal septal cartilage, or even rib cartilage. Also, with the addition of suturing techniques for nasal cartilage, trimming of the nose, etc., a perfect nasal tip can be shaped. Modern rhinoplasty techniques can be more invasive than traditional rhinoplasty and have a relatively longer recovery period. This makes it sound difficult for many people to accept. In fact, with fine intraoperative manipulation and good postoperative management, the edema time will not be very long. In terms of long term results, the recovery time is only a very, very small problem. The foundation of the nose is like the foundation of building a house, with a good foundation you can build a high-rise building on it. With a good nose shape, the next step is to create a beautiful nasal bridge. You can use either prosthesis or rib cartilage for the nasal bridge area. In modern rhinoplasty, it is more common to use cartilage to shape the tip of the nose + prosthesis to augment the bridge of the nose. Rib cartilage can be used as a second-stage rhinoplasty or for the repair of nasal deformities, especially for the correction of contracted noses. A word about incisions. Traditional rhinoplasty is performed through an incision in the right side of the nostril, which is concealed and accepted by the patient. Modern rhinoplasty is mostly an open procedure, with a transverse incision in the nasal columella area extending into the nasal cavity on both sides in a flying bird shape. This incision may sound scary, but in the distant future there is no trace of it.