Is It Possible to Narrow the Nose Tip, with Closed Rhinoplasty?

The closed rhinoplasty is an approach to the procedure, not the technique itself.  Tip plasty can be performed through either closed or open approaches.  The important part of the procedure is what is done with the actual cartilages such as suturing, tip cartilage grafting techniques, and removal of thick wide excess cartilage is what will effect the change.  In closed rhinoplasty all incisions are made inside the nose, while open rhinoplasty makes the incision across the columella in addition to the internal incisions.  The open rhinoplasty takes longer to heal.

Closed or open rhinoplasty are both in essence the same procedures, the only difference is the exposure that is provided with the open approach.  In my hands, for the past 20 years, I have preferred the open approach for what I feel are its superior advantages.

Closed Rhinoplasty, also known as "endonasal rhinoplasty" can narrow the tip of the tip of the nose.  The exposure of the  cartilages in closed rhinoplasty is sufficient to identify and modify the tip cartilages to an orientation and configuration such that the tip is narrowed.