1. Cartilage transplantation: make a nasal margin incision in the nostril, or make an intra-cartilaginous incision to expose alar cartilage and nasal cartilage, and cut off the cephalad part of alar cartilage or the caudal part of nasal cartilage as appropriate. The cut cartilage, after cutting and shaping, is sutured at the top of the vault to raise the tip of the nose, or the external ear cartilage can be cut for transplantation.

2. The lateral incision of bilateral nasal columella was made by approaching the medial foot of bilateral alar cartilage, exposing the medial foot of alar cartilage and fornix, removing the soft tissue between the two medial feet, and then making mattress suture at the upper and lower ends, that is, closing the medial foot. This method can raise the tip of the nose by 2-3mm.

3. Wedge-shaped resection of the alar base If the shape of the nasal tip is good, it only needs to be slightly lower. A wedge-shaped full-thickness tissue is removed at the alar base on both sides, so that the nostrils are adducted and the dome is raised, that is, the nasal tip is raised. Artificial nasal branches are used to design the standard length, shape and angle of the tip of the nose. Invisible separation on the surface of nasal bone and cartilage, so that the nasal dorsal tissue is completely released, and the released soft tissue is pulled to cover the stent, and the soft tissue of nasal tip is effectively reduced and fixed.

Key points: Reasonable application of nasal anatomy, making maximum use of the extension of the skin outside the nose, the skin and mucosa of the nasal vestibule, and solving the problem of soft tissue tension at the tip of the nose.