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Shaping steps of nasal columella
1, nasal columella: the most basic surgical method to bulge the tip of the nose, which is inserted between nasal columella through vertical incision or extranasal approach. You don't have to be directly close to the nasal spine, but you can also get quite obvious rhinoplasty.

2. suture between zones: suture the top of alar cartilage on both sides, and be sure to keep the symmetry of alar cartilage.

3. Cushion transplantation: Cushioning the lower part of nasal columella with cartilage can not only raise the tip of nose, but also improve the pointed nose and lip angle.

4. Shield transplantation: Like a building, you need a basic support bar. Autologous cartilage was used to build this support rod to shape the tip of the nose. Generally, the most commonly used cartilage is nasal septum cartilage and retroauricular cartilage.

5. Cap transplantation: In order to show the tip of the nose, the septal cartilage and retroauricular cartilage are overlapped according to the height required by the patient.

6. Suture after excision of alar cartilage: After vertical incision of alar cartilage on both sides from nasal tip vault, only the medial foot and stele are sutured.