Each technique has valuable aspects in nose reshaping. If the tip of the nose is the focus of the surgery, then open rhinoplasty is the preferred technique. On the other hand, if the dorsum of the nose is the focus, a closed approach is preferred. In our practice, we perform whichever procedure will give us the best result. It is important to have the knowledge and technical skill to be flexible in any approach to the nose, or for that matter, anywhere on the body.