Saddle nose mainly manifests as an irregular concavity in the middle of the nasal bridge from the lateral view, similar to the U shape of a saddle, or no continuous linkage between the nasal bridge and nasal tip from the frontal view, presenting an S-shaped deviation. This problem is not rare among patients undergoing rhinoplasty, particularly in females. It is generally associated with the congenitally poor connection between the nasal septum and nasal bridge bone, and in some cases, it is attributable to the detachment of the nasal bridge from the nasal septal cartilage because of traumatic impacts. Because many patients with saddle nose have concurrent nasal septal deviation and nasal obstruction or a congenitally relatively low radix or even an upturned nose, Korean-style (open) rhinoplasty or lateral osteotomy will be simultaneously performed for comprehensive correction. Surgeries on this nose type need to use nasal implants (silicone or Sili-Tex prosthesis) to improve the height of the nasal bridge and compensate the depression at the middle nasal bridge and also require additional autologous auricular cartilages to sculpt the nasal tip and reinforce the columella because the congenital septal cartilage usually has warping or inadequate hardness. Additionally, Dr. Chuang evaluates whether the support of the middle section of the nasal bridge is sufficient; otherwise, extra flaky Gore-Tex materials need to be emplaced above the nasal septum to strut the nasal implants, namely, the composite rhinoplasty, to ensure the stability and form of the nasal bridge in the long term.