The most common nose defects in China are low flat nose, fat nose, low tip of nose, thick alar, wide alar, and nostril leaning forward. And often several defects exist at the same time. But at present, the common nasal plastic surgery in China is simple rhinoplasty. Many patients and plastic surgeons want to improve the shape of the nose by shaping the shape of the nose prosthesis in rhinoplasty, but the result is often so ineffective that many rhinoplasty operations are unsightly and unnatural, or the nose tip is deformed due to the excessive support of the nose prosthesis, which makes the skin at the nose tip thinner and even causes serious complications such as skin penetration at the nose tip. In many years of clinical work in our hospital, I deeply feel that the limitations of traditional single rhinoplasty are far from meeting the urgent requirements of many beauty seekers. In recent years, our hospital has been brave in practice and bold in innovation. With superb surgical techniques and modern aesthetic design concepts, combined with the latest achievements in the international biomedical field, an epoch-making brand-new operation "nose comprehensive plastic surgery" was successfully carried out for the first time in China, and a brand-new concept of "nose comprehensive plastic surgery" was put forward for the first time in the domestic plastic surgery field. This brand-new surgery, which has made a breakthrough in the field of nasal plastic surgery, is based on the differences of individual nasal shapes and individual requirements, and carries out multi-site joint surgery on the bridge of the nose, the nose head and the alar, so that the nasal shape is comprehensively improved and the effect of nasal cosmetic surgery is maximized. This brand-new operation with contemporary international advanced level has raised the effect of rhinoplasty to an unprecedented level, covering more than a dozen operations such as rhinoplasty, nasal bone shaping, nasal septum cartilage shaping, alar cartilage shaping, nasal soft tissue resection, alar contraction, alar lifting and nasal tip pulling, and its effect has reached the highest level in the field of rhinoplasty at home and abroad. Once it was launched, it was widely welcomed by many beauty seekers, which benefited those patients with nasal defects who failed rhinoplasty and could not be solved due to the limitation of medical level. Comprehensive technical characteristics of rhinoplasty 1. It is a common plastic surgery in China to comprehensively solve several defects of the nose. Many people have done rhinoplasty, but the postoperative effect of many people is far from the standard nose shape. This is because the traditional rhinoplasty is only a simple rhinoplasty operation, trying to improve the shape of the nose through the sculpture of the prosthesis, and more nose defects are due to the imperfect or overdevelopment of the internal structure of the nose. Excessive development of nasal soft tissue can enlarge the nose and widen the alar. Overdevelopment of nasal bones can lead to hunchback. Moreover, most people often have several defects at the same time, which are caused by internal structural problems and cannot be completely solved by one operation. According to the internal structure of the nose, the brand-new "nose comprehensive plastic surgery" comprehensively shapes the perfect nose shape that meets the standard, perfects the limitations of traditional single surgery, fills the gap in the field of nose plastic surgery in the industry, comprehensively improves the nose shape of more beauty seekers, and truly and thoroughly solves their nose defects. 2. Autologous composite cartilage scaffold technology in line with the physiological characteristics of the nose In clinical rhinoplasty, the tip of the nose needs to be shaped in many cases, such as the hypertrophy of the alar, the low tip of the nose, and the nostril facing the sky, so as to get good results. However, traditional rhinoplasty often only uses silicone prosthesis to lengthen the nose tip. Due to the hard texture of silicone prosthesis, if the nose tip is pulled down or raised excessively, it may directly lead to serious complications of prosthesis exposure, which is also very common in clinic. Aiming at this shortcoming, the technique of autologous composite cartilage scaffold was introduced. Chosen cartilage scaffold composed of auricle cartilage and nasal septum cartilage to shape the tip of nose. The stent for nasal tip plastic surgery conforms to the physiological characteristics of the nose, and makes up for the defects of silicone prosthesis by using the good compatibility between autologous cartilage and tissue, so that the shape of the nasal tip is natural and the feel is real. Thoroughly put an end to the serious complications of prosthesis exposure. 3. Ingeniously combine the removed cartilage to support a flat and blunt nose. Comprehensive rhinoplasty was introduced from 200 1, and ear cartilage was advocated to pad the tip of nose, which achieved very good results. There are many followers in the plastic surgery field, but most of them directly pad the excised auricular cartilage to the tip of the nose, but only formally pad the auricular cartilage to the tip of the nose, which does not make the cartilage play its due role. Because the thickness of cartilage slice is limited, it can't support the nasal tissue at all, so it can't solve the problem of low flat and blunt nose. When dealing with the excised cartilage, the excised cartilage slice will be cut and implanted into the tip of the nose after three-dimensional combined reconstruction to support the nasal tissue and make the low flat and blunt nose disappear completely. 4. It completely subverts the saying that traditional rhinoplasty surgery does not advocate the removal of nasal soft tissue. The main nerves and blood vessels of the external nose are distributed in the soft tissue of the nose and supply blood to the external nose. Therefore, when dealing with the problem of excessive development of nasal soft tissue, traditional rhinoplasty surgery does not remove the nasal soft tissue for fear of destroying blood supply and causing nasal tissue necrosis, but simply sews the alar cartilage in the middle to change the shape of the nose. This treatment has not really improved the problem of nose hypertrophy and dullness, and the hypertrophic tissue still exists. We believe that the problem must be solved from the root, and only by removing redundant soft tissue can we achieve perfect results and successfully avoid it. Of course, this bold innovation is not without theoretical basis, which is inseparable from rich clinical experience and solid theoretical level. 5. Choose the prosthesis carefully to avoid postoperative complications. The selection of nasal prosthesis is a very important link in rhinoplasty, and whether the selected prosthesis is suitable will also affect the postoperative effect. The thickness of nasal skin should be evaluated before choosing nasal prosthesis. Generally, patients with thin skin on the back of nose usually do not recommend choosing silicone prosthesis, because silicone prosthesis is hard in texture and will inhibit tissue regeneration. The skin on the back of nose is thin. When the silicone prosthesis is used for rhinoplasty, the prosthesis will stimulate the skin on the back of nose to become thinner and thinner, which is red and translucent, and it is easy to see the outline of the prosthesis, and the artificial marks are too heavy. Therefore, in this case, soft swelling materials with soft texture and good histocompatibility are selected for patients to avoid these complications. On the other hand, patients with nasal soft tissue hypertrophy should use silicone materials to inhibit tissue regeneration, so as to prevent excessive hyperplasia after operation and make the nose more hypertrophy. In short, it is an important factor to make use of the characteristics of various materials, give full play to their respective advantages, and carefully select prostheses according to different situations. 6. Perfect and seamless surgical incision In rhinoplasty, the position of traditional surgical incision was changed from the edge of nostril to the inside of nasal vault, which not only concealed the position, but also avoided obvious postoperative scar, and even put an end to the phenomenon that the edge of nostril incision might cause nostril deformation. In the comprehensive nasal plastic surgery, the transverse or V-shaped incision of traditional surgery is abandoned, and a more complicated and tortuous incision is adopted to reduce the incision tension, speed up the wound healing and prevent the scar from appearing.