Generally, a rhinoplasty operation may address several distinct anatomic parts of the nose, including the tip, the bridge, the radix (starting point of the bridge at the top of the bridge), and so on... Tip rhinoplasty refers to a cosmetic nose operation that focuses on alteration of the tip of the nose. The tip of the nose is comprised of skin, subcutaneous tissues, and the paired lower lateral cartilages resembling an arched "M". The tip of the nose has several aesthetic characteristics that may be altered in a rhinoplasty surgery. Manipulation of the arched lower lateral cartilages allows your surgeon to increase or decrease the projection of the tip (the distance the tip of the nose projects from the face), the rotation of the tip, the angle between the tip of the nose and the upper lip, the width of the tip, the vertical height of the widest portion of the tip, among other more detailed considerations. These aspects of the tip may be altered surgically using many different approaches. The external or "open" approach involves an incision on the skin of the collumella (skin between the nostrils)and a few hidden incisions inside of the nostrils, while the internal approach involves only hidden incisions inside of the nostrils. There is no one way that is better. The best method is the one which your surgeon feels will allow him/her to peform all of the necessary steps for the desired result.