The nose, the geometric center of the face, is the first of the five senses to be noticed in people’s daily interactions. Because of its importance, the aesthetics of the nose directly affects the first impression given to others, and nasal injury or other causes of unsightliness can often cause serious low self-esteem in patients and significantly affect interpersonal communication. Moreover, severe collapse can also affect the ventilation of the nose, bringing inconvenience and pain to the patient’s life. So, when your nose has been damaged or you are not satisfied with the appearance of the nose, plastic surgeons can do for you what? A, traumatic deformity 1, nasal bone fracture: external blunt force hit the face can cause fractures of nasal cartilage and hard bone, if the phase I repair is poorly aligned (or simply not aligned), then the injury healing is bound to bring the appearance of the nose deformity, common crooked nose, nasal bone collapse (can be combined with poor nasal ventilation) and so on. In this case, the plastic surgeon can break the misaligned bone and cartilage and reposition them. If you find that your nose is crooked after a traumatic injury, if it has been less than 48 hours since the injury, you can see a plastic surgeon as soon as possible to reset and fix it. If the time from the injury is more than 48 hours, then you need to wait patiently for 3-6 months for the fracture to heal before surgery, because the body repair begins after 72 hours, rash surgical reset will aggravate the local inflammatory reaction and cause the fracture not to heal. 2.Nasal scar deformity: scars caused by facial burns and sharp cuts often involve the nose, and once the scar contracture, it can often cause deformity of the nose. The most common ones are nostril reduction, nasal skew and even nasal soft tissue defects. Plastic surgeons can provide you with a customized surgical plan: from local scar reshaping to skin grafting, from tipped flap/ear flap grafting to full nose reconstruction with a frontal expander, we basically have a solution for different deformities. However, scars can only be faded, not removed, and both implants and flap grafts can cause scarring in the donor area. Before the major progress in regenerative medicine, all these additional damages cannot be avoided. 3.Surgical damage: There are many patients who did septal cartilage resection to correct the deviated septum, and the amount of cartilage removed by the surgery was too large, causing the collapse of the nose. At this time, we can use autologous cartilage transplantation or artificial implants to re-support the nasal bridge and restore the appearance of the nose to normal. 4, nasal soft tissue defects: injuries and inappropriate surgery often bring about the loss of soft tissues in the nose, at this time the doctor can repair it by means of tissue transplantation (can be likened to tearing down the east wall and replacing the west wall), skin pieces, flaps and even auricles are all available options. Second, cosmetic needs 1, collapsed nose: because of ethnic and family genetics, many beauty seekers have low nasal bridge, or even sunken (commonly known as saddle nose). It is looked at coldly in this face-gazing society. At this time, the surgeon can implant artificial prosthesis or autologous cartilage through an incision at the edge of the nostril to support the soft tissues of the nose and make the nasal bridge look more upright. Of course, if you are afraid of surgical damage, you can also choose hyaluronic acid local injection microplasty. 2, hump nose: contrary to the collapsed nose, some seekers find that the middle of their nasal bridge will be raised, as if the hump of a dromedary, giving a sinister, mean feeling, they are disturbed by it. The surgeon can make a small incision in the nostril and use a bone file to smooth out the raised bone and restore the smooth contour of the nose. The face and affinity can be substantially improved. 3.Rounded nose: Also known as meat nose, it can be congenital or caused by rosacea nasal redundancy. Through subcutaneous soft tissue trimming, nasal cartilage fixation and moderate cartilage/dermal support, the contour of the nasal tip can be reshaped. 4, poor nasal length: regardless of Chinese and Western aesthetics, all agree with the standard of “three chambers and five eyes”. That is, the distance from the hairline to the center of the eyebrow, the distance from the center of the eyebrow to the tip of the nose and the distance from the tip of the nose to the chin and chin are close or equal. If any one of these distances is too large or too small, the face will look poorly proportioned. By trimming the nasal cartilage and increasing or decreasing the support under the skin, a satisfactory nasal length can be achieved. 5, comprehensive rhinoplasty: more often than not, the cosmetic case of the nose is a collection of many specific problems, which may be integrated with the nose contour, length and other aspects of the problem. Simple rhinoplasty is often difficult to satisfy the candidate. This time the comprehensive design can be a more perfect solution. Other 1, nasal tumor repair and reconstruction after resection: many malignant tumors on the body surface, such as basal cell carcinoma, melanoma, etc. need to be removed on a large scale, if the nose loses such a large range of tissues, it is often difficult to suture in phase I. This requires the middle of repair through plastic surgery methods. The skin alone can indeed be repaired by skin grafting, local flap transfer, if nasal cartilage defects are involved, further cartilage transplantation is required, if both skin and cartilage are missing then composite tissue transplantation is required – auricular is preferred. 2, Phase II cosmetic cleft lip nasal deformity: this is a more complex congenital nasal deformity, often there is a double deformity of “building and foundation”. Not only is the nose is skewed, the nose “foundation” – the maxilla also has different degrees of deformity. Comprehensive plastic surgery is needed, including bone grafting, cartilage transplantation and nasal deformity correction. 3, nasal injections removed: With the popularity of microplastic surgery, many beauty seekers are interested in injections for rhinoplasty. The poor quality and counterfeit injectables produced by some unscrupulous vendors are used to replace the good with the bad, which cannot be metabolized and degrade into toxic small molecules for a long time after being injected into the nose, causing great harm to the beauty and health of the candidates. If your nasal injections do not tend to decrease for more than a year, then you should seek medical attention and remove them with the help of a doctor. Having said that, I just hope to spread some basic knowledge about rhinoplasty for you. Each rhinoplasty case requires individual design to achieve a perfect fit with the whole face and personal temperament. Any idea that “bigger is better” or “higher is better” is counterproductive.