31 year old African-American female who wanted to refine her tip and make it less bulbous. She also wanted slight narrowing of the nasal bridge. Dr. Slupchynskyj performed an Ethnic Rhinoplasty technique through an Open Rhinoplasty approach. The nasal tip cartilages where refined using a cephalic strip technique and a strut graft. The tip cartilages where also refined using a shield graft and defatting of the tip. Nasal dorsal width was reduced with bilateral osteotomies and a custom carved silicone implant, SLUPimplant™. This patient is 6 weeks post-op and very pleased.