Primary and secondary nasal tip deformities can be repaired more easily with an open technique rather than with the traditional closed methods that have been used for the over-projecting tip. Division of the alar domes with a side-to-side repair followed by the onlay of a single crushed cartilage graft to prevent postoperative cartilaginous deformities has been shown to be a reliable maneuver in both primary and secondary rhinoplasties.