Augmentation rhinoplasty is one of the most popular aesthetic procedures in the orinet because the typical asian nose is characterized by a broad, relatively falt dorsum associated with a wide lobule that often exhibits alar flaring and columellar retraction. Although autogenous bone, autogenous cartilage and silicone rubber are commonly used as nasal augmentation materials, nothing is suitabel for the anatomical feature and physiologic function of the nose. An ideal implant should not be immunogenic, be easily formable, not change in size and figure and not produce adhesion for easy eliminaion. In augmentation rhinoplasty with silicone rubber, it is not uncommon to observe infection or hematoma as early post-operative complication and deviation or extrusion of implants as late post-operative complication. When we inserted silicone rubber through alar rim incision with guide suture, we could insert the implant easily under adequate dissectiong pocket and so lower the infection rate due to smaller hematoma and edema, The incidence of post-operative deviation of the implant could be lowered by means of fixation of the silicone rubber on the nasal root side and subsiding the edema rapidly by draining througth the suture.