This is a refined single nasal implant surgery. Though it also uses autologous ear cartilage to enhance the nasal tip definition, the whole procedure and results are different from those of the exquisite open (Korean-style) rhinoplasty. It is usually an alternative surgery for patients who do not accept an open incision at the columella but still expect a better shape and projection of the nasal tip in conjunction with the nasal bridge augmentation. In brief, it is conducted by the augmentation of the nasal bridge with an appropriate nasal implant (silicone or Sili-Tex) and concurrent autologous ear cartilage to elongate or support the nasal tip; therefore, it is also called closed two-section rhinoplasty. The surgical incision is made in the bilateral nostrils, which enables the limited dissection or suturing of the nasal tip structure. Moreover, since there is no cutting at the columella, the nasal tip skin cannot be completely separated and released from the deep structure, which induces a high tension or pressure over the nasal tip. Therefore, attention should be paid to avoid excess elongation of the nasal tip, and the transplantation of ear cartilage should be simultaneously performed to buffer the contact of the nasal implant with the skin. Otherwise, problems such as nasal tip skin thinning, excess tightness, or poor wound healing may occur. Models of nasal implants are selected based on individual conditions or requirements, and the common ones available are type I or L.