Closed rhinoplasty is a surgical procedure that is performed to reduce, reshape or alter the appearance of the nose. With this technique, all of the surgical incisions are made inside the nose so there is no external scarring. Although closed rhinoplasty can address the same issues as open rhinoplasty, it is often the preferred method for patients that wish to address any issues with the bridge of the nose. The surgeon creates tiny incisions in the nose and then lifts the skin to access the cartilage that needs to be removed or reshaped. Once that is finished, the doctor puts the skin back down on the nose and closes the incisions.