33 year old patient wanted elevation of his nasal bridge and naso-frontal angle along with narrowing of his nostrils and tip refinement. Rhinoplasty Surgery was performed with placement of the custom carved SLUPimplant™ to raise his nasal dorsum and further define the bridge. In addition, bilateral osteotomies reduced the width of bridge. Nasal Refining Surgery included defatting of the nasal tissue and placement of cartilage strut and shield grafts to enhance and define the tip. This patient also requested a narrowing of the nostrils, which was performed using a vertical and horizontal nasal narrowing technique.