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

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. 

Rhinoplasty: cam be  opened, or closed,

the boxy tip can be fixed alone with a tip rhinoplasty

The round, bifid or separated tip can be best improved by:
Open method
Tip sutures in the dome
Narrowing
Cartilage removal
 

As a surgeon who has performed closed, or endonasal rhinoplasty for over 23 years, most modifications on the tip or any part of the nose can be done through a closed approach. I find results are equally as good for an experienced rhinoplasty surgeon.

My indications (reasons) for doing an open rhinoplasty a very crooked nose, need to add many grafts to the nose and in complex revision Rhinoplasty. That means, in my book, i perform over 90% of primary rhinoplasties using the closed or endonasal approach.

Yes. Almost anything that is done in an open rhinoplasty can be done in a closed technique provided the surgeon is very experienced. I perform open rhinoplasty most of the time because I think it gives me the best opportunity to give predictable excellent results. I used the closed technique when the nose is not very complicated and most things are in the right place. The most important thing is the final result. The columellar scar heals very well and should not really be an issue.