The traditional closed rhinoplasty procedure used to produce unstable results, including the “polly beak� deformity, and has largely been replaced by open rhinoplasty, which has now become the new standard. Nevertheless, the complete release of the skin from the nasal skeleton allows for more post-operative swelling, especially if the skeleton is greatly reduced. To enhance nasal definition many surgeons find it necessary to place grafts on the skeleton. This book describes a closed operation that avoids the unstable nose tip of past procedures by preserving the elastic tissue and greatly reduces post-operative swelling. It also presents a novel technique for tip refinement, which elongates the periphery of a dome-shaped tip and a new nose splint. Based on the authors over 30 years of clinical experience and innovations, this step-by-step guide appeals to experienced surgeons wishing to expand their tools and incorporate the advanced techniques described.