There are two approaches in rhinoplasty, open and closed. In the open rhinoplasty approach, a short incision is made across the column of the nose between the nostrils. In certain circumstances, the closed approach is sufficient and allows for a simple reduction of a bump on the bridge or small manipulations to the nasal tip. However, most of the closed approach is performed “blind” meaning that the surgeon does not see directly all of the areas requiring treatment. The open approach facilitates complete visualization of the anatomy of the nose and allows for more accurate reshaping of the nasal framework and airway.