I had a question regarding a tip-plasty done under IV sedation..would a thick skinned-rounded nose tip (and you want a triangular tip) best benefit from an open tip-plasty or closed tip-plasty? I know many use the open approach since it gives more options to work with the tip..however I recently heard some say the closed-approach is best since it is more conservative and "enhances" rather than changes, the patient's nose. Most nosejobs in males result in a changed look rather than a bit nicer enhancement. This is for males, I've noticed in the pics. Which is best? Thank you