Rhinoplasty has become one of the most performed cosmetic procedures in our country. In the eyes of the patient and the surgeon, rhinoplasty seems to be a very simple procedure. However, in a lot of practice, it is found that in order to do a successful rhinoplasty that suits the personality of the person in need, in addition to a lot of practice, it is necessary to have a full understanding of the professional characteristics and psychology of the patient and the personality of the patient’s nose and the structural characteristics around the face (orbital bone, cheekbones, eyes and upper lip). Only by “knowing oneself and one’s opponent” can we achieve perfect results. In our daily clinical activities, we can see that the results of various rhinoplasties done in China are not good. Simple surgical steps of rhinoplasty In the eyes of many cosmetic surgeons and patients, rhinoplasty is nothing more than placing sculpted biological materials (artificial biological materials, own cartilage or bone) under the periosteum of the nasal dorsum through a hidden nostril margin incision. The procedure consists of sculpting the nasal scaffold, stripping the dorsal nasal tunnel, inserting the implant, and suturing the incision. However, sculpting the scaffold to fit the patient’s individual characteristics and needs is not easy to do; inaccurate placement levels and positions often occur for less experienced surgeons. Understanding the facial and nasal structure of the patient In addition to the commonality of the low nose, the nose shape and facial structure of each person are very different. First of all, the forehead is full and the forehead is narrow; the face is wide and small; the orbital bone is low and protruding, i.e., the difference between the height of the brow arch; the cheekbones are low and protruding; the length of the upper lip varies. The anatomy of the nose itself varies. The nose is divided from top to bottom into the root, dorsum, tip and nasal column, which are close to the forehead. The height and width of each section, the position and shape of the nostrils, etc. all affect the post-operative results. Identifying the main features of the patient’s facial anatomy and the main requirements of the patient are the key factors to determine the success of the surgery. At present, the main trends of rhinoplasty rhinoplasty mainly show two major trends, European rhinoplasty and Eastern rhinoplasty; they are actually the specific embodiment of Eastern and Western cultural and aesthetic views in cosmetic surgery. With the development of cosmetic aesthetics in China, the aesthetic form of the nose will show great diversity. People can customize their own nose in full accordance with their own requirements and aesthetic views, just like making shoes, but of course these must be under the premise that objective conditions allow. 1.European nose surgery Its main feature is the high root of the nose, nose and forehead cross angle, usually greater than 150 degrees, but it must be combined with the following conditions: with natural or through surgery double eyelids can be widened, deepened, orbital bone protrusion or high eyebrow arch, and their own strong desire for “foreign”, suitable for the line ” European style nose”. The key to this surgery is that the root of the nose is high and wide, the side of the nose shows a straight line, the lateral contour of the nose is clear, the tip of the nose is pointed and high, and the nostrils show a small and pendulous oval shape. This surgery fully shows the clear contour of Europeans and Americans, different from the so-called soft beauty of the East. It is usually suitable for people in film, television and show business to be photogenic; it is not suitable for most oriental anatomical structure and aesthetic views. Of course, with the spread and popularity of European and American culture, this kind of surgery is rapidly increasing among young people. 2.Eastern style (soft rhinoplasty) is currently the most widely carried out rhinoplasty in China. Its main feature is that the height of the nasal mold is moderate or even low, showing a slight soft depression after surgery, the tip of the nose is not too sharp, and the nostrils show a large oval shape. It can be suitable for many people who wish to have their noses augmented without making it obvious that surgery has been performed after surgery. It fully reflects the soft beauty aesthetics of the Orient. The nasal mold is sculpted so that the root and sides of the mold are thin, with good attachment to the deep bones, a natural curved overlap with the frontal bone, a moderate height of the nasal tip, and a large oval shape of the nostril in an oblique position. Common augmentation styles for different nasal conditions Simple nasal root augmentation is suitable for those with low nasal roots, deep nasal root depression and small nasal forehead angle, usually seen in the southern regions of Guangdong, Guangxi, Fujian and other Southeast Asian people; their nasal roots are low and their cheekbones are protruding, and their noses are fat, but often only the low nasal roots need to be corrected. Only partial augmentation of the nasal root is needed, which can also be called partial or partial rhinoplasty, often using a willow or boat-shaped nasal mold, with the frontal bone and nasal dorsum attached to the nasal mold showing the upper and lower ends of the thin, thick middle. Full nasal augmentation is usually suitable for those who have low nasal root, dorsum and tip, i.e., the whole nose is low, and the tip is sagging, the nasal column is short, and the nostrils are lying down. The L-shaped stent is often used to lift the nose as a whole, as if floating out of the face, while correcting the shape of the nasal tip and nostrils, and if necessary, the dorsal part of the stent is moderately extended to correct the nostrils that are upturned, exposed or short. It is suitable for most people. Simple tip augmentation is suitable for people with low nasal tip, short nasal column and recumbent nostrils, while the nasal dorsum and nasal root are of moderate height and width. Simple stent or auricular cartilage tip elevation can be performed to correct the poor shape of the lower part of the nose. Hump nose correction with nasal augmentation is suitable for those who have an overall low nose, but have a local abnormal protrusion on the back of the nose, or even a hawk nose. Usually local anesthesia is used to remove the localized abnormal protrusion of the hump, and the whole nose is lifted at the same time. Correction of nasal hypertrophy with overall nasal augmentation Suitable for people with nasal hypertrophy and nasal wing and low nasal area, with overall augmentation at the same time as the above deformity correction. Common clinical conditions of unsatisfactory nasal shape In addition to poor height (nasal augmentation is too high or too low), there are also poor adhesions on both sides, presenting the contours of both sides of the stent; in addition, there are inaccurate positions, stent deviation, appearing crooked nose; nasal stent is too shallow, the contours are too obvious; stent is too wide, too narrow, nasal tip is too high, presenting red skin at the tip of the nose, or even skin breakage In addition, the stent is unnaturally shaped, with no normal nasal frontal angle, nasal facial angle, nasolabial angle, no ideal aesthetic curve, no natural and harmonious width of the face; the stent outline is hidden and can be seen; when touching the root of the nose with the hand, the tip of the stent sways, i.e., the stent is felt to float and sway under the skin; the prosthesis is shifted, and the root of the nose is stepped; the skin of the back of the nose is hard, or the reflection is enhanced, and the skin is discolored, white or appears There are signs of skin necrosis or small depressed pits in the skin; the tip of the nose is too high, the blood vessels around the nose are dilated and congested, the skin becomes thin, and after a long time, it is red and swollen, the tissue is scar-like hyperplasia, there is granulation tissue inside, local rupture, often flowing yellow water, the stent is exposed; the nostril is deformed, the nasal sulcus is excessively sunken, the nose is rounded; the nasal mold is too long, the root is not adequately peeled, the upper end is placed under the skin around the fixed The nasal tip and nasal crutch skin are elevated, whitened, hyperplastic and exposed by piercing the skin stent; the nasal small column is too wide, the edge is not round and curved or even the stent is exposed. In case of unsatisfactory situation, surgery can be performed as soon as possible to remove the stent and re-augment the nose according to the situation to correct the poor results of the last surgery. The means is to re-sculpt the stent suitable for the patient and re-peel the appropriate tunnel. In short, an ideal post-rhinoplasty result can be completely obtained by re-operation.