This is a 37 year old patient who had a previous Rhinoplasty by another surgeon with inadequate results. Patient requested a more defined nasal bridge, a less bulbous and fatty tip and less width in her nostril area. She underwent an African-American Ethnic Rhinoplasty procedure where the nasal dorsum was shaved down and cartilage was removed using cartilage shave technique. The SLUPimplant™, Dr. Slupchynskyj's custom implant, was placed in the dorsum which raised the bridge and redefined the dorsal definition. The nasal tip was defatted and reconstructed using a cartilage strut and shield graft for added support, lift and definition.