A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of your hanging columella, refinement to the nasal tip cartilages, and osteotomy placed in the nasal bones to narrow the bridge line and close the open roof that's created from the hump removal itself. All of the incisions are placed on the inside of the nose, and there's no external incisions needed, and no painful packing required either. An Alar plasty is performed to narrow wide nostrils, not lower them. Functional surgery, such as a Septoplasty and turbinate surgery can also be performed simultaneously on the inside of the nose for improvement of airflow dynamics. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience producing natural results.