Rhinoplasty-Cosmetic Surgery of Nose- is often a complex and challenging operation to perform. There are two techniques which may be used for surgery, Open rhinoplasty and closed rhinoplasty both have their advantages and disadvantages.
I usually prefer to do open-external rhinoplasty.
A small incision is made in the columella, which is the little column of skin that separates the two nostrils. That incision allows the nasal skin to be lifted off of the tip of the nose. The access to the nose provided by the open approach is far superior to a closed rhinoplasty and therefore, diagnosis and treatment of tip problems can be far more accurate.