Rhinoplasty can have either a dramatic effect or a subtle effect on the appearance of the nose depending on what techniques are used and depending on the patient's preference. It is possible to remove a hump and narrow a wide bridge without having to change other features of the nose.
The best rhinoplasty is one which produces a nose that both looks good and functions well. When performed correctly, other people should not be able to tell that your nose has been operated on, but rather they should that it looks natural.
How do you know whether an open or closed approach is "best" for you? While you may have a preference for one or the other, your surgeon will recommend the approach that he or she feels is most appropriate, and the surgical technique employed depends primarily on the goals established by you and your surgeon. Some surgeons perform exclusively closed rhinoplasty while others prefer open rhinoplasty. There are surgeons who perform both types of rhinoplasty depending on the patient's needs.
The best way for patient to gain a better understanding of how their nose might look is to visit with a surgeon who uses computer imaging to set the goals for surgery. Recently, 3D rhinoplasty imaging has become available which allows patients to compare their preop picture with a simulated postop picture and look at them from any angle to see how surgery might change their overall appearance. Gaining a better understanding of what the result would look like before undergoing surgery can help make that decision.