The nasal tip, which is the most prominent point and a critical aesthetic landmark of the face, contributes significant importance in facial aesthetics. For Asian people, the nasal tip is usually low and relatively round and blunt, so the demand for nasal tip surgery is very common. However, the anatomical features of the nose of Asians are different from those of other ethnic groups, primarily characterized by a weaker cartilaginous framework and thicker nasal tip skin, which poses a challenge for nasal tip plastic surgery. One of the primary challenges for rhinoplastic surgeons is how to create an aesthetically pleasing nasal tip on the basis of preserving the function of the nose. In order to provide reference for the selection of the scheme of nasal tip plastic surgery, this article, from the perspective of the anatomical structure of the nasal tip, facial aesthetic standards and various plastic surgery techniques, analyzes different treatment techniques for nasal tip plastic surgery, focuses on the advantages and disadvantages of various methods such as cartilage grafting, suture technology and structural support reconstruction, and evaluates the applicability and effects of different surgical schemes combined with the characteristics of Asian nasal anatomy.