Nasal tip surgery is regarded as the most challenging aspect of plastic surgery. No routine tip procedure is ever used. Nasal tip harmony improves its visual appeal Aim of wok: To study and implement the different surgical treatment options for the management of the various nasal tip deformities. Patients and methods: 20 patients with various tip deformities were operated upon through an open approach accompanied by either sutures or various grafts. Conclusion: management of nasal tip deformities with combined suture techniques and grafting provides the optimum cosmetic result.