Nasal tip and wing defects are very common clinically, and there are many methods of repair, which method to choose should be considered comprehensively. 1.Local flap: take tissue from the side of the nose to repair, especially suitable for those who are old and have loose facial skin. Advantages: good skin color and texture matching; simple surgery, adults can operate under local anesthesia; relatively high success rate. Disadvantages: large facial scars; only suitable for small defects; large defects may lead to asymmetry on both sides of the nose and mouth. Nasal wing defect: nasal facial groove flap transfer repair, bilateral cleft lip nasal column short: anterior lip flap transfer repair nasal column, lower lip Abbe flap repair upper lip, rib cartilage nose augmentation, nose upper and lower lip are greatly improved. 2.Frontal expansion flap: water bladder is placed under the skin of forehead, water is pumped twice a week, expansion to a certain size, the extra skin is transferred to the nasal defect, the method can do full nasal reconstruction, also can repair partial defects Advantages: skin texture and color match well, in terms of effect, is the gold standard for nasal repair. Disadvantages: It takes a long time, the whole process requires several surgeries and the whole duration is almost more than one year; there will be a little color difference in the early stage. Cheek and nasal dorsal scars: frontal expansion flap repair, small color difference, no sense of seam, nasal tip and nasal column defect: frontal expansion flap repair, good color texture, no sense of seam with the recipient area, 3, distant free flap, often in front of the ear or forehead with a piece of skin with arteriovenous vessels, and nasal vessels microscopic docking suture, often used for nasal tip and nasal column defect repair. Advantages: good results for those with delicate skin on the nose, matching color and texture; short duration, about ten days for the first stage of surgery, and basically satisfactory results can be achieved with two revisions within six months. Disadvantages: high technical requirements and difficulty, risk of non-viability of the flap. Nasal tip defect: 6 months before preauricular flap repair, before the second revision, Nasal tip nasal wing defect: preauricular flap repair, before the third revision surgery, Nasal tip nasal column defect: three years after preauricular flap free graft repair, Nasal column defect, preauricular flap free graft before surgery, 2 weeks after revision surgery and intraoperative design in six months.