30 year old requesting an increased height in her dorsum, raising of her naso-frontal angle, redefinition of her nasal tip and narrowing of her nostrils. An African-American Rhinoplasty Surgery technique was used which included placement of a custom carved silastic implant, the SLUPimplant™, in her dorsum. This raised the bridge height slightly and augmented the nasal frontal angle. Refinement of the nasal tip included defatting of the nasal tissue and then placement of a cartilage strut graft and cartilage shield graft for added support. A mild reduction of the nasal nostrils was performed using a horizontal and vertical nostril width reduction technique. Post-operatively the patient has an improved nasal dorsal angle and refinement of nasal tip structures.