Some people are born with a hump on the back of the nose and a hawk’s hook on the tip of the nose; some people are unfortunate enough to suffer traumatic fractures on the nose and face, making the originally straight nose become crooked, and the nasal cavity is often blocked because of the deviated nasal septum; some patients are left with a depressed nasal dorsum after nasal surgery, etc. All of this can bring a lot of sorrow to people, and everyone is looking forward to the next doctor’s skillfulness to make the external nose beautiful and straight again. We all look forward to the next surgeon’s skill to make the external nose beautiful and upright again. In fact, what the patients expect is also the direction that the doctors strive for. In recent years, domestic otolaryngologists (especially rhinologists) have been continuously exploring in this field, because in addition to the deformity of the external nose, most of the above-mentioned patients also have nasal ventilation disorders, while plastic surgeons consider the problem of appearance, traditional rhinologists consider the problem of nasal ventilation, how to consider not only the reconstruction of the external nose’s appearance during surgery but also consider performing nasal surgery to improve ventilation and other functions, i.e., simultaneous morphology and function. In fact, most of the best rhinoplasty surgeons at home and abroad are rhinologists. In fact, most of the best rhinoplasty surgeons at home and abroad are rhinologists because the latter are more familiar with the aesthetics, anatomy and physiological functions of the nose. Since the 1990s, several doctors from the Department of Otolaryngology of the Ninth People’s Hospital of Shanghai Jiaotong University Medical College have been conducting clinical research on “nasal morphology and functional reconstruction”, because many patients come to the Ninth Hospital for treatment; at the end of 2005, our department and Taiwanese scholars jointly organized the first national In 2006, “Functional Rhinoplasty Surgery” (originally published by Egbert H. Huizing, John A.M. de Groot) was published by Beijing People’s Health Publishing House; in August 2008, “Atlas of Rhinoplasty Surgery” was published by People’s Health Publishing House. Two years ago, after the European Rhinology Annual Meeting, Prof. Wang Qi led some of the Chinese experts to visit Prof. Huizing, an internationally renowned rhinologist, and the full interview was published in “China In 2012, Dr. Wang Tao and I visited Yakup Avasar’s “endoscopic microsaw rhinoplasty” at ACIBADEM Hospital in Turkey and were deeply impressed. In addition, there are several ENT scholars in China who have traveled to Europe, America, Australia and other countries to visit or attend study courses on the topic of “rhinoplasty”, and then return to China to write books and practice clinically. However, the current reality in China is that there are still not many doctors and hospitals studying “nasal morphology and functional reconstruction”, so as the person in charge of our department, we have held four national continuing education and trained a group of talents in this field to provide better services to patients. At present, we mainly use the method of osteotomy or repositioning to correct the nasal bone deformity, and the method of septoplasty to improve nasal ventilation; or the method of “nasal-septoplasty” to treat the crooked nasal deformity; these methods have solved the problems of appearance and ventilation for patients simultaneously, and have achieved a relatively good satisfaction. In our department, we perform more than 1,000 emergency nasal trauma surgeries and more than 500 traumatic nasal deformity surgeries a year, with patients from all over the country and the world. Recently, I am exploring endoscopic nasal-septoplasty with electric microsaws, why? First: endoscopy has good light and synchronous magnification, which can see places invisible to the naked eye; second: in the past, osteotomy was done by hammering the osteotomy knife, and the nasal facial bone is originally very small, once the osteotomy knife is not sharp, it is easy to cause the bursting and crushing of the nasal bone, which affects the postoperative morphology; electric microsaw osteotomy is less traumatic to the bone, which can be more precise osteotomy, and the postoperative swelling is also lighter, which is in line with the principle of minimally invasive. Endoscopic microsaw rhinoplasty – septoplasty has advantages over previous methods, so we should continue to open our brains, strive for excellence, and study with care to improve patient satisfaction with the surgery, and strive for beautiful and straight noses after surgery.