The thickness and tension of the nasal tip skin determine the naturalness and durability of rhinoplasty. In clinics, poor conditions of the nasal tip are frequently reported to incur tenser and thinner skin after elongation rhinoplasty, which derives an overtly pointed nasal tip, cartilaginous trace, redness or white spots, and also compromises the stability and sustainability of surgical results. Therefore, it is important to accurately evaluate the distensibility of the nasal tip skin prior to the operation. If it is necessary to reinforce the thickness of the nasal fat, eligible skin tissues are harvested from other body parts, such as the scalp, lower abdomen (groin), or gluteal fold area. In Dr. Chuang’s experience, he considers that the optimal option is the fascia layer at the buttock, whose skin tissues are most abundant and durable. Partial removal of dermal fascia does not affect the appearance or skin evenness over this area, and the incision will be hidden inside the groove of the gluteal folds so that the scar is less likely to be noticed. The removed gluteal fascia, after trimming and scissoring, will be immediately emplaced into the interlayer between the nasal tip skin and cartilage grafts via the open incision at the nasal columella, which adds a layer of autologous fascia at the inner side of the already thinning nasal tip. This not only makes the nasal tip appear round and natural to obviate an exceedingly pointed or pointed shape but also substantially enhances skin resistance to external force friction or compression. Nevertheless, the transplantation of the gluteal fascia to the nasal tip also presents self-resorption, with an absorption rate of approximately 30–50%, which still sustains stable results in the long run.