Rhinoplasty with silicone rubber or other prosthesis is one of the most common methods in cosmetic surgery, which has the advantages of easy operation, precise results and high safety. However, there are many limitations to the shape of the nasal tip with a simple prosthesis. Especially for some patients with severely low nasal tip or insufficient nasal length who have high requirements for the shape of the nasal tip, this method is hardly satisfactory and is prone to the complication of skin piercing at the tip of the nose. The application of cartilage grafting to solve this problem has been reported for a long time, and now there are also reports of physicians placing the prosthesis at the same time as cutting the ear turbinate cartilage for free grafting to increase the “liner” on the surface of the prosthesis, due to the protective effect of the cartilage liner, the pressure formed by the overly high prosthesis on the skin is dispersed, which reduces the incidence of skin puncture. However, the free grafting of the cartilage of the ear nail will form a second surgical zone, which is not easily accepted by the patients. In addition, the free grafted cartilage has a certain degree of resorption, and the long-term results are questionable. At the request of a very demanding patient in our clinic, we began to consider a new rhinoplasty technique for her. Since the patient had already undergone 4 rhinoplasty operations and had severe scarring in the tip area, it was not possible to rely solely on a prosthesis for the shape of the nose, and the patient herself had very high demands on the shape of the tip and the wings of the nose, which made the operation very difficult. Inspired by the correction of nasal deformity in the secondary deformity after cleft lip surgery, we designed and attempted the application of flap-assisted silicone rubber prosthesis rhinoplasty with a flap of flap of large wing cartilage. Since the cartilage donor and recipient areas are located in the same field of the nose in this procedure, the scarring problem in the donor area can be effectively avoided. In addition, because the medial pedicle of the greater flank cartilage is not cut off before cartilage transfer and the cartilage membrane continuity on the cartilage surface is preserved as much as possible during cartilage dissection in this procedure, this procedure is actually a transfer of the greater flank cartilage flap for repair instead of cartilage free grafting, which will minimize the resorption and deformity due to the blood circulation problem, and the long-term results will be more stable. After 1 year of postoperative clinical observation, we concluded that this surgical technique could maximize the improvement of the tip and flank morphology and extend the length of the nose while fully guaranteeing patient safety. After this successful attempt, we continued to treat 106 rhinoplasty cases with this technique, and further observations showed that, in addition to the excellent level of morphology, this technique also provides a perfect solution to the problem of thin skin at the tip of the nose due to the compression of the prosthesis after conventional rhinoplasty, as long as the skin has not been broken down and infection has not occurred, the technique can be used to save the prosthesis and further optimize the nasal shape at the same time. At the same time, the shape of the nose can be further optimized. How is it possible to extend the length of the nose and increase the height of the nose while at the same time finely contouring the appearance of the tip and the wings of the nose? The principle is that after conventional silicone rubber rhinoplasty, when the tip of the nose reaches a certain height, the curvature of the bilateral nasal wings tends to be excessively straight due to the high tip, and the nasal surface angle tends to be “flattened”, which creates an unnatural appearance with the excessively pointy tip of the nose. In this procedure, due to the outward transfer of the greater wing cartilage, the original nasal area will be reduced, coupled with the contracture of the transverse part of the nasal muscle after the severance of the greater wing cartilage, the postoperative return of the upper and outer side of the nose is characterized by a tendency to invagination. This tendency is what the surgeon is very happy to see, because it precisely counteracts the tendency of the nasal surface angle to be “flattened” after conventional silicone rubber rhinoplasty, and makes the nasal wings and nasal surface angle more delicate and natural. Disadvantages of this method. Individual patients may have a slight bulging of the lateral portion of the nasal tip within a short period of time after surgery, which is analyzed to be due to the step formed by the overlapping sutures in the nasal tip area after the transfer of the bilateral large flank cartilages to the outside. Since any bone tissue section has the ability to be reconstructed, the deformity can disappear on its own after the reconstruction is completed. If necessary, the cartilage surface can be trimmed intraoperatively to avoid postoperative embarrassment. If requested by the patient, a pair of “winged” cartilage flaps can be formed on the bilateral greater flank cartilages, which can be further turned downward to form a protrusion below the tip of the nose and at the tip of the nasal columella, resulting in a personalized “teardrop-shaped” appearance. In addition, the anatomy of the greater flank cartilage is very demanding. The possibility of cartilage resorption with perichondrial stripping increases the risk of perforation of the medial nasal cavity with retention of the perichondrium. Once perforated, it must be carefully sutured or periprosthetic infection or even abscess may occur in the presence of a prosthetic foreign body. Since the cartilage is involved in the contouring, the consequences of infection are more severe than those after conventional silicone rubber rhinoplasty.