28 year old male patient complaining of a low, nasal bridge, wide nostrils and undefined nasal tip. An Open Rhinoplasty technique was performed, as well as refining nasal surgery. Dr Slupchynskyj placed his custom carved silastic implant, the SLUPimplant™ to conservatively elevate the dorsum (at patient's request) and bilateral osteotomies nicely and refined the width of the bridge nose. He also had a reduction of nasal alar, or nostrils, using a vertical and horizontal nostril narrowing technique. Cartilage strut and shield grafts were placed to define and support the tip. This patient desired to preserve his ethnic features and was very happy post-operatively.