Pre-operative precautions: 1. Patients without bleeding disorders and active or progressive diseases of the heart, lungs, liver and kidneys and other important organs, such as those suffering from hypertension, diabetes or infectious diseases, need to have surgery after their conditions are under control. 2.Patients who have been taking steroid hormones and aspirin for a long time should preferably stop using them one week before surgery, please consult the relevant doctor. 3.Surgery is not recommended for those who have the following nasal conditions: infected foci such as boils and folliculitis on the skin of the nose, acute sinusitis, allergic rhinitis attack period, history of trauma to the nose within 3 months, etc. 4.Women patients should avoid menstruation; pre-pregnancy (3 months) and post-pregnancy (3 months) surgery should be suspended. 5.Nose surgery and the post-operative recovery process are relatively complex. Full communication is needed before surgery to design a suitable procedure according to the candidate’s own nasal conditions and to explain clearly the results that can be achieved. At the same time, there is a risk of post-operative deflection of the prosthesis, infection, lack of improvement, secondary asymmetry, unsatisfactory results, etc. Once they occur, Dr. Pan Berlin will do everything possible to remedy the situation, but your understanding and cooperation are needed. 6.As the slight local swelling may last for several weeks after surgery, the nose shape is slightly less natural at this time, so please consider avoiding important social occasions during this period when arranging the surgery. Nasal filling material selection: 1, silicone prosthesis: non-toxic, non-cancerous, non-teratogenic, cheap, easy to place, replace or remove, but the texture is slightly hard, there is a possibility of displacement, top breaking the skin, and the ability to resist infection is slightly low. At present, it can be used for filling the dorsum of the nose and the root of the nose and the base of the nose. 2.EPTFE: non-toxic, non-carcinogenic, non-teratogenic, moderate texture, can be “fused” with the surrounding tissue, but more expensive, there is a risk of infection and rejection, once it appears, usually need to be removed surgically. At present, it can be used for filling the dorsum and root of the nose and the base of the nose. 3.Autologous rib cartilage: non-toxic, non-carcinogenic, non-teratogenic, no rejection, can be integrated with surrounding tissues, but requires simultaneous surgical excision of its own rib cartilage. It can be used for filling the dorsum and root of the nose, the tip of the nose and the base of the nose. 4.Hyaluronic acid (hyaluronic acid) injection: non-toxic, non-cancerous, non-teratogenic, simple and less painful surgery, but the effect only lasts about half a year to one year. Anesthesia: local anesthesia: local injection of anesthetic at the surgical site, no additional charge. The dorsum of the nose can be filled with prosthesis alone; Intravenous general anesthesia assisted by: long operation time, many sites, or poor pain tolerance, intravenous administration of drugs, no tracheal intubation, additional charges (ranging from 1500-3000 yuan according to the length of the operation). Take rib cartilage rhinoplasty surgery is recommended to choose. Pre-operative preparation: 1, routine examination: (can be done on the day of surgery, local anesthesia without fasting, intravenous general anesthesia fasting laboratory tests; foreign patients to save time can also be completed in advance in the local tertiary hospital, valid for 3 months) local anesthesia surgery: routine blood, urinary routine, coagulation four, cosmetic immune four (hepatitis B, C, syphilis, AIDS); intravenous general anesthesia surgery: the above six items, liver and kidney function, fasting blood sugar, electrocardiogram. 2, those who choose local anesthesia normal diet, those who choose intravenous general anesthesia auxiliary 6 hours of preoperative fasting, 4 hours of abstinence from water. 3.Pay attention to the cleanliness of the operation area before surgery, cut short nasal hair and beard, and do not wear makeup. 4.Postoperative medication preparation: painkillers (the night after surgery), anti-swelling medication (within 1 week after surgery), anti-inflammatory medication (antibiotics). Post-operative precautions: 1. Avoid getting water on the wound after surgery, avoid blowing and rubbing the nose, avoid bending and lowering the head. 2. The gauze stuffed in the nostrils can be removed the next day after surgery; if there is an external fixation device, it will be removed after 7 days. Incision removal is generally 7 days. 3.Do not drink hot drinks on the day after surgery; avoid smoking, alcohol, fish and shrimp, spicy and stimulating food for one week. 4, oral antibiotics for 3 days to prevent infection, if necessary, you can take painkillers (such as painkillers, tramadol, etc.). 5.If rib cartilage osteotomy is performed, postoperative chest pain for about 2 days, bed rest is recommended. 6.After surgery, edema, bruising, bruising, small amount of bleeding, nasal congestion, uneven nasal dorsum, temporary asymmetry of nostrils, pain in the bone extraction area, etc. are normal phenomena, and most of them will gradually subside after 1-2 weeks. If you find that the nasal prosthesis is skewed or displaced, the swelling and bruising or pain is increased, or the ventilation is continuously affected, please contact the doctor immediately. 7.Do not wear rimmed glasses for 3 months, and do not rub your nose or bump it with external force. 8. Please contact the doctor for follow-up after 6 months.